Organization
BENZER WI 2 LLC
Active
Other names
Peshtigo Pharmacy, Peshtigo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BHARGAVI PATEL (OWNER)
(810) 348-3003
Entity
Organization
Contact information
Practice address
220 FRENCH ST, PESHTIGO, WI 54157-1218
(715) 582-4237
(715) 582-0213
Mailing address
220 FRENCH STREET, PESHTIGO, WI 54157
(813) 304-2221
(888) 239-8423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
9304-42
WI
3336C0003X
Community/Retail Pharmacy
Primary
9491-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151000
PK
—
05
—
33094900
—
WI
Enumeration date
06/01/2005
Last updated
10/25/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up