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A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1174187553 |
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| LBN Legal business name | THE SOUTH BEND CLINIC LLC | ||||
| Authorized official | ANDREA KRUPA - (EXEC DIRECTORY OF PHARMACY) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/01/2019 | ||||
| Last updated | 11/26/2024 - More than a year ago | ||||
| Identifiers |
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THE SOUTH BEND CLINIC LLC