Oconto Pharmacy

LBN: Benzer Wi 1 Llc
Oconto Pharmacy is an health care organization with primary practice located at 1008 Main St , Oconto WI 54153. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Benzer Wi 1 Llc can be contacted via phone (920) 834-4455, or through Patel, Bhargavi via phone (810) 348-3003.

Contact Information

Primary practice address
1008 Main St Oconto WI 54153
Phone: (920) 834-4455
Fax: (920) 834-3655
Website:
Map and Directions
Authorized official contact:
Name: Patel, Bhargavi
Phone: (810) 348-3003

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9302-42 Wisconsin

Profile Details

NPI number 1912997081
LBN Legal business name Benzer Wi 1 Llc
DBA Doing business as Oconto Pharmacy
Authorized official Patel, Bhargavi
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2005
Last updated May 13th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912997081 NPPES
Other 2151001 PK
MEDICAID 33009500 PK

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