Organization
BENZER FL 10 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
11048 BAYMEADOWS ROAD, SUITE 5, JACKSONVILLE, FL 32256
(813) 968-9100
(813) 968-9200
Mailing address
5908 BRECKENRIDGE PARKWAY, TAMPA, FL 33610
(813) 304-2221
(888) 239-8423
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015867500
—
FL
01
—
2153868
PK
—
Enumeration date
09/09/2015
Last updated
11/19/2018
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