# INDEPENDENCE HOLDING CO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Complete Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619213097
- **Authorized official:** JAMES CHRISTOPHER SMITH (EXECUTIVE V.P.)
- **Authorized official phone:** (217) 753-1688

## Contact information

- **Practice address:** 14 E WASHINGTON ST STE C, CHAMPAIGN, IL 61820-3677
- **Practice address phone:** (217) 355-6607
- **Practice address fax:** (217) 355-6639
- **Mailing address:** 14 E WASHINGTON ST STE C, CHAMPAIGN, IL 61820-3677
- **Mailing address phone:** (217) 355-6607
- **Mailing address fax:** (217) 355-6639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 054-018086 | IL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054-018086 | IL | Yes |

## Other

- **Enumeration date:** 12/12/2012
- **Last updated:** 09/26/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 054-018801 | STATE LICENSE NUMBER | IL |