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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912997081 | NPPES |
Other | 2151001 | PK | |
MEDICAID | 33009500 | PK |
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