Organization
BENZER FL 3 LLC
Active
Organization
BENZER FL 3 LLC
Active
Other names
Elite Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEJAS PATEL (CEO)
(561) 529-2851
Entity
Organization
Contact information
Practice address
901 W INDIATOWN ROAD, BAY 23, JUPITER, FL 33458
(561) 529-2851
(561) 529-2874
Mailing address
901 W INDIATOWN ROAD, BAY 23, JUPITER, FL 33458
(561) 529-2851
(561) 529-2874
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015846400
—
FL
05
—
102220000
—
FL
01
—
2152983
PK
—
Enumeration date
07/09/2015
Last updated
03/02/2020
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