# BENZER MS 1 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Benzer Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235522756
- **Authorized official:** ALPESH PATEL (OWNER)
- **Authorized official phone:** (813) 304-2221

## Contact information

- **Practice address:** 1720A MEDICAL PARK DR STE 160, BILOXI, MS 39532-2135
- **Practice address phone:** (228) 207-7716
- **Practice address fax:** (228) 207-9598
- **Mailing address:** 5908 BRECKENRIDGE PARKWAY, TAMPA, FL 33610
- **Mailing address phone:** (813) 304-2221
- **Mailing address fax:** (888) 239-8423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 142461/1.1 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2015
- **Last updated:** 07/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 06972060 | — | MS |
| 01 | — | 2150623 | PK | — |
| 01 | — | 404473 | MEDICARE PART B | MS |