South Bend Specialty Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in South Bend, IN. Organization (NPI-2).
NPI number1376941344
StatusActive
Last updated in NPPESJul 21, 2019
Details
- NPI
- 1376941344
- Entity type
- Organization (NPI-2)
- Legal business name
- South Bend Specialty Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Dec 8, 2014
- Last updated
- Jul 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 60006503A | IN | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – |
Other names
- South Bend Specialty Pharmacy (Doing Business As)
Practice location
54590 Ironwood RdSouth Bend, IN 46635-1617
Phone 574-968-3717 · Fax 574-314-6916
Mailing address
54590 Ironwood RdSouth Bend, IN 46635-1617
Phone 574-807-6170 · Fax 877-235-7012
Authorized official
Elaine Almeida
Owner
5749683717
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All 13 Community/Retail Pharmacy providers in South Bend · All 3,973 providers in South Bend
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