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The South Bend Clinic LLC — NPI 1174187553, Granger, IN | NPI Central

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NPI 1174187553

OrganizationActive

The South Bend Clinic LLC

NPI 1174187553 · Clinic Pharmacy · Granger, IN

Provider details

NPI number: 1174187553
Entity type: Organization
Primary specialty: Clinic PharmacySuppliers
Organization subpart: No
Authorized official: Andrea Krupa, Exec Directory of Pharmacy(574) 239-1461

Specialties & taxonomies

Clinic PharmacyPrimary3336C0002X
Suppliers

Practice location

52500 Fir Rd

Granger, IN 46530-8579

Phone: (574) 204-7260

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

211 N Eddy St

South Bend, IN 46617-3096

Other names (DBA / former)

Doing business as: The South Bend Clinic Pharmacy at Granger

Registry dates

Enumerated: 2019-05-01
Last updated: 2024-11-26
Certified: 2024-11-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.