The South Bend Clinic Llc is not a DME supplier for medicare equipments and products.
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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