The South Bend Clinic Llc
Clinic Pharmacy
52500 Fir Rd, Granger
Indiana, 46530-8579
574-204-7260 The South Bend Clinic Llc is a Clinic Pharmacy in Granger, Indiana. It is located at 52500 Fir Rd, Granger and it's customer support contact number is 574-204-7260. The authorized person of The South Bend Clinic Llc is Andrea Krupa who is Exec Directory Of Pharmacy of the pharmacy and his contact number is 574-239-1461.
The South Bend Clinic Llc is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
The South Bend Clinic Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | The South Bend Clinic Llc |
| Type: | Clinic Pharmacy |
| Location: | 52500 Fir Rd, Granger,
Indiana, 46530-8579 |
| Phone: | 574-204-7260 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Andrea Krupa |
| Position: | Exec Directory Of Pharmacy |
| Contact Number: | 574-239-1461 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1174187553 |
| NPI Enumeration Date: | 01 May, 2019 |
| NPI Last Update On: | 26 Nov, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The South Bend Clinic Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100300930 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 211 N Eddy St,
South Bend, Indiana |
| Zip: | 46617-3096 |
| Phone Number: | 574-237-9295 |
| Fax Number: | 574-239-1554 |
Patients can reach The South Bend Clinic Llc at
52500 Fir Rd, Granger, Indiana or can
call on customer care at 574-204-7260.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.