# PRISM PHARMACY AURORA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184251480
- **Authorized official:** SAMAR SHETH (OWNER)
- **Authorized official phone:** (630) 550-2215

## Contact information

- **Practice address:** 475 N FARNSWORTH AVE STE 101, AURORA, IL 60505-3005
- **Practice address phone:** (630) 550-2215
- **Mailing address:** 475 N FARNSWORTH AVE STE 101, AURORA, IL 60505-3005

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2020
- **Last updated:** 03/25/2020