# BENZER SC 1 LLC

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

## Provider details

- **NPI number:** 1982071296
- **Authorized official:** ALPESH PATEL (OWNER)
- **Authorized official phone:** (813) 304-2221

## Contact information

- **Practice address:** 1028 EDGEWATER PKWY, SUITE 103, INDIAN LAND, SC 29707
- **Practice address phone:** (803) 393-4611
- **Practice address fax:** (803) 594-4258
- **Mailing address:** 5908 BRECKENRIDGE PKWY, TAMPA, FL 33610
- **Mailing address phone:** (813) 304-2221
- **Mailing address fax:** (888) 239-8423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/24/2015
- **Last updated:** 10/10/2018