Organization
ACCESS CARE LTC PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER SHARSHON (PRESIDENT)
(630) 210-5307
Entity
Organization
Contact information
Practice address
5120 BELMONT RD, SUITE C, DOWNERS GROVE, IL 60515-4332
(630) 874-1988
(630) 541-8275
Mailing address
PO BOX 4860, NAPERVILLE, IL 60567-4860
(630) 874-1988
(630) 541-8275
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
054-017895
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054-017895
PHARMACY LICENSE
IL
Enumeration date
03/26/2012
Last updated
04/02/2012
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