Organization
BENCKALL GROUP INCORPORATED
Active
Other names
TOTAL PHARMACY CENTER ONE
Organization subpart
No
Provider details
NPI number
Authorized official
CYPRIAN EZEUDE RPH (PRESIDENT)
(713) 864-0808
Entity
Organization
Contact information
Practice address
4302 CENTER ST, HOUSTON, TX 77007-5616
(713) 864-0808
(713) 864-2153
Mailing address
4302 CENTER ST, HOUSTON, TX 77007-5616
(713) 864-0808
(713) 864-2153
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144615
—
TX
05
—
148820
—
TX
01
—
2105513
PK
—
Enumeration date
09/30/2006
Last updated
04/05/2022
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