Organization
SHARSHON PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER SHARSHON (PRESIDENT)
(630) 210-5307
Entity
Organization
Contact information
Practice address
116 S MAIN ST, MACKINAW, IL 61755-7510
(309) 359-5960
Mailing address
931 W GALENA BLVD, AURORA, IL 60506-3751
(630) 548-1729
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054015565
IL
Other
Enumeration date
12/23/2014
Last updated
03/05/2018
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