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South Bend Specialty Pharmacy Llc
Compounding Pharmacy in South Bend, Indiana
NPI 1376941344

South Bend Specialty Pharmacy Llc is a Compounding Pharmacy based in South Bend, IN and is specialized in Compounding Pharmacy. South Bend Specialty Pharmacy Llc practices in South Bend, IN. The NPI Number for South Bend Specialty Pharmacy Llc is 1376941344 and holds a License No. (Indiana).

The current practice location address for South Bend Specialty Pharmacy Llc is 54590 Ironwood Rd, South Bend, IN and can be reached out via phone at 574-968-3717 and via fax at 574-314-6916.

Location: 54590 Ironwood Rd, South Bend, IN, 46635-1617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376941344
Provider Name
South Bend Specialty Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
54590 Ironwood Rd, South Bend, IN, 46635-1617
Phone Number
574-968-3717
Fax Number
574-314-6916
Provider Enumeration Date
12/08/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2154848 01 PK
institution
Provider Business Practice Location Address Details
Address
54590 Ironwood Rd
City
South Bend
State
Indiana
Zip
46635-1617
Phone Number
574-968-3717
Fax Number
574-314-6916
person
Provider Business Mailing Address Details
Address
54590 Ironwood Rd
City
South Bend
State
Indiana
Zip
46635-1617
Phone Number
574-968-3717
Fax Number
574-314-6916
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
60006503A (Indiana)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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