| NPI | 1821192519 |
|---|---|
| Doing Business As | INDEPENDENCE HOME PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHARON LEE TOLLIVER Chief Operating Officer 513-313-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: KY P07112) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P07112) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |