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Contact Information

BENCKALL GROUP INCORPORATED
2515 WASHINGTON AVE
STE 1401
HOUSTON, TX77007-6342
 Phone: 713-864-2401
 Fax: 713-864-2153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BENCKALL GROUP INCORPORATED

NPI # 1962413450
LBN Legal business name BENCKALL GROUP INCORPORATED
Authorized official CYPRIAN EZEUDE - (PRESDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 04/05/2022 - About 4 years ago
Identifiers
TX License # 17518
TX Medicaid 144613
TX Medicaid 148672
Other 2104647 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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