# ZZZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** zzz
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326495623
- **Authorized official:** MR. WALTER SHARSHON (OWNER)
- **Authorized official phone:** (630) 210-5307

## Contact information

- **Practice address:** 402 PINE ST, DELAVAN, IL 61734-7575
- **Practice address phone:** (309) 244-7115
- **Practice address fax:** (309) 244-7151
- **Mailing address:** 931 W GALENA BLVD, AURORA, IL 60506-3751
- **Mailing address phone:** (309) 244-7115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 3423423423 | AL | Yes |

## Other

- **Enumeration date:** 05/17/2016
- **Last updated:** 05/17/2016