# INDEPENDENT PHARMACY GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTH LIMA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629106984
- **Authorized official:** GARY EVANKOVICH RPH (PRESIDENT)
- **Authorized official phone:** (330) 549-2620

## Contact information

- **Practice address:** 11740 SOUTH AVE, NORTH LIMA, OH 44452-0301
- **Practice address phone:** (330) 549-2620
- **Practice address fax:** (330) 549-0042
- **Mailing address:** PO BOX 301, 11740 SOUTH AVE, NORTH LIMA, OH 44452-0301
- **Mailing address phone:** (330) 549-2620
- **Mailing address fax:** (330) 549-0042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 21277850 | OH | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0718772 | — | OH |
| 01 | — | 3623522 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |