Organization
BENZER OH 5 LLC
Active
Other names
Benzer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL (OWNER)
(813) 304-2221
Entity
Organization
Contact information
Practice address
244 N MAIN ST, UTICA, OH 43080-7705
(740) 892-2971
(740) 892-3075
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
021529950
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075123
PK
—
05
—
2592547
—
OH
Enumeration date
08/10/2006
Last updated
12/31/2018
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