# INDEPENDENCE HOLDING CO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Complete Care Phcy of Chatham
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093068553
- **Authorized official:** JOHN ENDRIS (PHARMACIST)
- **Authorized official phone:** (217) 528-8096

## Contact information

- **Practice address:** 101 E PLUMMER BLVD, CHATHAM, IL 62629-8047
- **Practice address phone:** (217) 483-2496
- **Practice address fax:** (217) 483-5772
- **Mailing address:** 101 E PLUMMER BLVD, CHATHAM, IL 62629-8047
- **Mailing address phone:** (217) 483-2496
- **Mailing address fax:** (217) 483-5772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054.014841 | IL | Yes |

## Other

- **Enumeration date:** 10/22/2012
- **Last updated:** 10/22/2012