Independence Holding Co LLC

NPI #1093068553 in Chatham, Illinois

Provider Information

NPI Number
1093068553
Entity Type
Organization
Organization Name
Independence Holding Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 22, 2012
Last Updated
Oct 22, 2012

Practice Location

Address
101 E PLUMMER BLVD
ZIP Code
62629-8047
Phone
(217) 483-2496

Authorized Official

Name
JOHN ENDRIS
Title
PHARMACIST
Phone
(217) 528-8096

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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