# MEDSHOP PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medshop Pharmacy LLC of Aurora
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114221751
- **Authorized official:** FATIMA ZAHRAEE (PHARM.D., R.PH)
- **Authorized official phone:** (630) 961-8500

## Contact information

- **Practice address:** 3535 E NEW YORK ST, AURORA, IL 60504-4465
- **Practice address phone:** (630) 961-1600
- **Practice address fax:** (630) 536-5389
- **Mailing address:** 3535 E NEW YORK ST, AURORA, IL 60504-4465
- **Mailing address phone:** (630) 961-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054017591 | IL | Yes |

## Other

- **Enumeration date:** 12/22/2010
- **Last updated:** 03/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1485261 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |