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Organization
SHARSHON PHARMACY INC
Active
Organization
SHARSHON PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER SHARSHON (OWNER)
(630) 210-5307
Entity
Organization
Contact information
Practice address
402 PINE ST, DELAVAN, IL 61734-7575
(309) 244-7115
(309) 244-7151
Mailing address
931 W GALENA BLVD, AURORA, IL 60506-3751
(630) 210-5307
(630) 892-5445
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
054019940
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159483
PK
—
Enumeration date
07/12/2006
Last updated
03/05/2018
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