Provider Demographics
NPI:1508679952
Name:BENAK INC
Entity type:Organization
Organization Name:BENAK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOP
Authorized Official - Prefix:PROF
Authorized Official - First Name:CHIRANJIVI
Authorized Official - Middle Name:BHARATH
Authorized Official - Last Name:JANNU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-462-4479
Mailing Address - Street 1:1600 SW 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34974-6122
Mailing Address - Country:US
Mailing Address - Phone:863-462-4479
Mailing Address - Fax:863-462-4480
Practice Address - Street 1:1600 SW 2ND AVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974-6122
Practice Address - Country:US
Practice Address - Phone:863-462-4479
Practice Address - Fax:863-462-4480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy