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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
JOHN ENDRIS (PHARMACIST)
(217) 528-8096
Entity
Organization
Contact information
Practice address
201 N 5TH ST, SPRINGFIELD, IL 62701-1001
(217) 528-8096
(217) 528-8152
Mailing address
4650 INDUSTRIAL DR, SPRINGFIELD, IL 62703-5318
(217) 467-8281
(217) 467-8297
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054.014959
IL
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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