Organization
SHARSHON PHARMACY. INC.
Active
Other names
Smith Easy Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER SHARSHON (OWNER)
(630) 210-5307
Entity
Organization
Contact information
Practice address
4600 N. PROSPECT RD., SUITE 2, PEORIA HEIGHTS, IL 61616
(309) 688-3684
(309) 688-5947
Mailing address
931 W GALENA BLVD, AURORA, IL 60506-3751
(309) 688-3684
(390) 688-5947
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016379
IL
3336L0003X
Long Term Care Pharmacy
054016379
IL
Other
Enumeration date
11/08/2006
Last updated
03/05/2018
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