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Independence Holding Co Llc
Community/Retail Pharmacy in Champaign, Illinois
NPI 1619213097

Independence Holding Co Llc is a Community/Retail Pharmacy based in Champaign, IL and is specialized in Community/Retail Pharmacy. Independence Holding Co Llc practices in Champaign, IL. The NPI Number for Independence Holding Co Llc is 1619213097 and holds a License No. 054-018086 (Illinois).

The current practice location address for Independence Holding Co Llc is 14 E Washington St Ste C, Champaign, IL and can be reached out via phone at 217-355-6607 and via fax at 217-355-6639.

Location: 14 E Washington St Ste C, Champaign, IL, 61820-3677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619213097
Provider Name
Independence Holding Co Llc
Credential
Provider Entity Type
Organization
Address
14 E Washington St Ste C, Champaign, IL, 61820-3677
Phone Number
217-355-6607
Fax Number
217-355-6639
Provider Enumeration Date
12/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054-018801 01 IL STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
14 E Washington St Ste C
City
Champaign
State
Illinois
Zip
61820-3677
Phone Number
217-355-6607
Fax Number
217-355-6639
person
Provider Business Mailing Address Details
Address
14 E Washington St Ste C
City
Champaign
State
Illinois
Zip
61820-3677
Phone Number
217-355-6607
Fax Number
217-355-6639
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
054-018086 (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.
()
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
054-018086 (Illinois)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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