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Contact Information

SHARSHON PHARMACY. INC.
4600 N. PROSPECT RD.
SUITE 2
PEORIA HEIGHTS, IL61616
 Phone: 309-688-3684
 Fax: 309-688-5947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHARSHON PHARMACY. INC.

NPI # 1003986019
LBN Legal business name SHARSHON PHARMACY. INC.
Authorized official WALTER SHARSHON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2006
Last updated 03/05/2018 - About 8 years ago
Identifiers
IL License # 054016379
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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