Organization
BENZER SC 1 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
1028 EDGEWATER PKWY, SUITE 103, INDIAN LAND, SC 29707
(803) 393-4611
(803) 594-4258
Mailing address
5908 BRECKENRIDGE PKWY, TAMPA, FL 33610
(813) 304-2221
(888) 239-8423
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
08/24/2015
Last updated
10/10/2018
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