Wenona Pharmacy

LBN: Sharshon Pharmacy Inc
Wenona Pharmacy is an health care organization with primary practice located at 120 N Chestnut St , Wenona IL 61377-7527. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sharshon Pharmacy Inc can be contacted via phone (815) 853-4342, or through Sharshon, Walter via phone (630) 210-5307.

Contact Information

Primary practice address
120 N Chestnut St Wenona IL 61377-7527
Phone: (815) 853-4342
Fax: (815) 853-4348
Website:
Map and Directions
Authorized official contact:
Name: Sharshon, Walter RPH
Phone: (630) 210-5307

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054006145 Illinois

Profile Details

NPI number 1144336439
LBN Legal business name Sharshon Pharmacy Inc
DBA Doing business as Wenona Pharmacy
Authorized official Sharshon, Walter RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 7th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144336439 NPPES
Illinois MEDICAID 362889967001
Illinois Other 054020970

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