Organization
SHARSHON PHARMACY, INC.
Active
Other names
LINCOLN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER SHARSHON (OWNER)
(630) 210-5307
Entity
Organization
Contact information
Practice address
616B WOODLAWN RD, LINCOLN, IL 62656-1590
(217) 651-4770
Mailing address
931 W GALENA BLVD, AURORA, IL 60506-3751
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054021047
PHARMACY LICENSE
IL
Enumeration date
12/28/2018
Last updated
12/28/2018
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