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Organization
INDEPENDENCE HOLDING CO LLC
Active
Organization
INDEPENDENCE HOLDING CO LLC
Active
Other names
Complete Care Pharmacy Downtown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL AGROSKIN (OFFICER)
(212) 210-9369
Entity
Organization
Contact information
Practice address
201 NORTH 5TH STREET, SPRINGFIELD, IL 62701
(217) 528-8096
(217) 528-8152
Mailing address
201 N 5TH ST, SPRINGFIELD, IL 62701-1001
(217) 528-8096
(217) 528-8152
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1476058
NABP
IL
Enumeration date
07/14/2006
Last updated
07/26/2018
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