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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