Peshtigo Pharmacy

LBN: Benzer Wi 2 Llc
Peshtigo Pharmacy is an health care organization with primary practice located at 220 French St , Peshtigo WI 54157-1218. 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 2 Llc can be contacted via phone (715) 582-4237, or through Patel, Bhargavi via phone (810) 348-3003.

Contact Information

Primary practice address
220 French St Peshtigo WI 54157-1218
Phone: (715) 582-4237
Fax: (715) 582-0213
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 9304-42 Wisconsin
Suppliers / Community/Retail Pharmacy 3336C0003X 9491-42 Wisconsin

Profile Details

NPI number 1467454678
LBN Legal business name Benzer Wi 2 Llc
DBA Doing business as Peshtigo Pharmacy
Authorized official Patel, Bhargavi
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 25th, 2022 - about 4 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 1467454678 NPPES
Wisconsin MEDICAID 33094900
Wisconsin Other 2151000

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