# SHARSHON PHARMACY. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smith Easy Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003986019
- **Authorized official:** WALTER SHARSHON (OWNER)
- **Authorized official phone:** (630) 210-5307

## Contact information

- **Practice address:** 4600 N. PROSPECT RD., SUITE 2, PEORIA HEIGHTS, IL 61616
- **Practice address phone:** (309) 688-3684
- **Practice address fax:** (309) 688-5947
- **Mailing address:** 931 W GALENA BLVD, AURORA, IL 60506-3751
- **Mailing address phone:** (309) 688-3684
- **Mailing address fax:** (390) 688-5947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054016379 | IL | Yes |
| 3336L0003X | Long Term Care Pharmacy | 054016379 | IL | — |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 03/05/2018