South Bend Specialty Pharmacy
LBN: South Bend Specialty Pharmacy Llc
South Bend Specialty Pharmacy is an health care organization with primary practice located at 54590 Ironwood Rd , South Bend IN 46635-1617. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
South Bend Specialty Pharmacy Llc can be contacted via phone (574) 968-3717, or through Almeida, Elaine via phone (574) 968-3717.
Contact Information
Primary practice address
54590 Ironwood Rd
South Bend IN 46635-1617
Phone: (574) 968-3717
Fax: (574) 314-6916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 60006503A | Indiana |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1376941344 |
|---|---|
| LBN Legal business name | South Bend Specialty Pharmacy Llc |
| DBA Doing business as | South Bend Specialty Pharmacy |
| Authorized official | Almeida, Elaine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 8th, 2014 |
| Last updated | Jul 21st, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376941344 | NPPES |
| Other | 2154848 | PK |
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