| NPI | 1174187553 |
|---|---|
| Doing Business As | THE SOUTH BEND CLINIC PHARMACY AT GRANGER |
| Entity Type | Organization |
| Authorized Contact | ANDREA KRUPA Exec Directory Of Pharmacy 574-239-1461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-11-26 |