Independence Holding Co LLC
NPI #1669498606 in Springfield, Illinois
Provider Information
- NPI Number
- 1669498606
- Entity Type
- Organization
- Organization Name
- Independence Holding Co LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 14, 2006
- Last Updated
- Jul 26, 2018
Practice Location
- Address
- 201 NORTH 5TH STREET
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62701
- Phone
- (217) 528-8096
Authorized Official
- Name
- MR. DANIEL AGROSKIN
- Title
- OFFICER
- Phone
- (212) 210-9369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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