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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
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