Organization
SHARSHON PHARMACY INC
Active
Other names
Easy Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER SHARSHON (OWNER)
(630) 210-5307
Entity
Organization
Contact information
Practice address
931 W GALENA BLVD, AURORA, IL 60506-3751
(630) 892-0661
(630) 892-5445
Mailing address
931 W GALENA BLVD, AURORA, IL 60506-3751
(630) 892-0661
(630) 892-5445
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054019939
IL
3336L0003X
Long Term Care Pharmacy
054019939
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1412802
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/15/2007
Last updated
03/05/2018
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