Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE SOUTH BEND CLINIC LLC
Active
Organization
THE SOUTH BEND CLINIC LLC
Active
Other names
The South Bend Clinic Pharmacy at Granger
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA KRUPA (EXEC DIRECTORY OF PHARMACY)
(574) 239-1461
Entity
Organization
Contact information
Practice address
52500 FIR RD, GRANGER, IN 46530-8579
(574) 204-7260
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 237-9295
(574) 239-1554
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100300930
—
IN
Enumeration date
05/01/2019
Last updated
11/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers