Organization
BENCKALL GROUP INCORPORATED
Active
Other names
WASHINGTON AVE PHARMACY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CYPRIAN EZEUDE RPH (PRESDENT)
(713) 864-2401
Entity
Organization
Contact information
Practice address
2515 WASHINGTON AVE, STE 1401, HOUSTON, TX 77007-6342
(713) 864-2401
(713) 864-2153
Mailing address
2515 WASHINGTON AVE, STE 1401, HOUSTON, TX 77007-6342
(713) 864-2401
(713) 864-2153
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17518
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144613
—
TX
05
—
148672
—
TX
01
—
2104647
PK
—
Enumeration date
08/10/2006
Last updated
04/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us