# BENZER WI 1 LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912997081
- **Authorized official:** BHARGAVI PATEL (OWNER)
- **Authorized official phone:** (810) 348-3003

## Contact information

- **Practice address:** 1008 MAIN ST, OCONTO, WI 54153
- **Practice address phone:** (920) 834-4455
- **Practice address fax:** (920) 834-3655
- **Mailing address:** 1008 MAIN STREET, OCONTO, WI 54153
- **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 | 9302-42 | WI | Yes |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 05/13/2021