Organization
INDEPENDENCE HOLDING CO LLC
Active
Other names
Complete Care Phcy of Chatham
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ENDRIS (PHARMACIST)
(217) 528-8096
Entity
Organization
Contact information
Practice address
101 E PLUMMER BLVD, CHATHAM, IL 62629-8047
(217) 483-2496
(217) 483-5772
Mailing address
101 E PLUMMER BLVD, CHATHAM, IL 62629-8047
(217) 483-2496
(217) 483-5772
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.014841
IL
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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