# SHARSHON PHARMACY, INC.

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

## Provider details

- **NPI number:** 1538582382
- **Authorized official:** WALTER SHARSHON (OWNER)
- **Authorized official phone:** (630) 210-5307

## Contact information

- **Practice address:** 101 W MARKET ST, MOUNT CARROLL, IL 61053
- **Practice address phone:** (815) 244-2171
- **Practice address fax:** (815) 244-1174
- **Mailing address:** 931 W GALENA BLVD, AURORA, IL 60506-3751
- **Mailing address phone:** (815) 244-2171
- **Mailing address fax:** (815) 244-1174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054018564 | IL | Yes |

## Other

- **Enumeration date:** 01/30/2014
- **Last updated:** 08/24/2018