# SHARSHON PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1578598108
- **Authorized official:** 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:** (630) 210-5307
- **Mailing address fax:** (630) 892-5445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 054019940 | IL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 03/05/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2159483 | PK | — |