Organization
BENZER AR 1 LLC
Active
Organization
BENZER AR 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL (OWNER)
(813) 304-2221
Entity
Organization
Contact information
Practice address
300 PERRY ST, HELENA, AR 72342-3325
(870) 338-6464
(870) 338-8407
Mailing address
5908 BRECKENRIDGE PARKWAY, TAMPA, FL 33610
(813) 304-2221
(888) 239-8423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR00755
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165715
PK
—
Enumeration date
09/22/2005
Last updated
05/23/2018
Update your record
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