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Independence Holding Co., Llc
Pharmacy in Lincoln, Illinois
NPI 1194720821

Independence Holding Co., Llc is a Pharmacy based in Springfield, IL. Independence Holding Co., Llc practices in Lincoln, IL. The NPI Number for Independence Holding Co., Llc is 1194720821 and holds a License No. 054-14414 (Illinois).

The current practice location address for Independence Holding Co., Llc is 602 Keokuk St, Lincoln, IL and can be reached out via phone at 217-735-3415 and via fax at 217-732-7319.

Location: 602 Keokuk St, Lincoln, IL, 62703-5930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194720821
Provider Name
Independence Holding Co., Llc
Credential
Provider Entity Type
Organization
Address
602 Keokuk St, Lincoln, IL, 62703-5930
Phone Number
217-735-3415
Fax Number
217-732-7319
Provider Enumeration Date
06/17/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1424186 01 NABP NUMBER
institution
Provider Business Practice Location Address Details
Address
602 Keokuk St
City
Lincoln
State
Illinois
Zip
62656-1731
Phone Number
217-735-3415
Fax Number
217-732-7319
person
Provider Business Mailing Address Details
Address
602 Keokuk St
City
Lincoln
State
Illinois
Zip
62656-1731
Phone Number
217-735-3415
Fax Number
217-732-7319
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
054-14414 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054-14414 (Illinois)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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