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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