Organization
MEDSHOP PHARMACY LLC
Active
Other names
Medshop Pharmacy LLC of Aurora
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMA ZAHRAEE (PHARM.D., R.PH)
(630) 961-8500
Entity
Organization
Contact information
Practice address
3535 E NEW YORK ST, AURORA, IL 60504-4465
(630) 961-1600
(630) 536-5389
Mailing address
3535 E NEW YORK ST, AURORA, IL 60504-4465
(630) 961-1600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054017591
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1485261
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/22/2010
Last updated
03/15/2012
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