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
—
—
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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