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Organization
INDEPENDENT PHARMACY GROUP INC
Active
Organization
INDEPENDENT PHARMACY GROUP INC
Active
Other names
NORTH LIMA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY EVANKOVICH RPH (PRESIDENT)
(330) 549-2620
Entity
Organization
Contact information
Practice address
11740 SOUTH AVE, NORTH LIMA, OH 44452-0301
(330) 549-2620
(330) 549-0042
Mailing address
PO BOX 301, 11740 SOUTH AVE, NORTH LIMA, OH 44452-0301
(330) 549-2620
(330) 549-0042
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
21277850
OH
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0718772
—
OH
01
—
3623522
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
03/01/2007
Last updated
09/11/2025
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