Independence Holding Co LLC
NPI #1982957403 in Springfield, Illinois
Provider Information
- NPI Number
- 1982957403
- Entity Type
- Organization
- Organization Name
- Independence Holding Co LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Oct 22, 2012
- Last Updated
- Oct 22, 2012
Practice Location
- Address
- 201 N 5TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62701-1001
- Phone
- (217) 528-8096
Authorized Official
- Name
- JOHN ENDRIS
- Title
- PHARMACIST
- Phone
- (217) 528-8096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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