Lake of Decatur INC

NPI #1386096170 in Decatur, Illinois

Provider Information

NPI Number
1386096170
Entity Type
Organization
Organization Name
Lake of Decatur INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 6, 2016
Last Updated
Oct 20, 2021

Practice Location

Address
320 E CENTRAL AVE
ZIP Code
62521-4665
Phone
(217) 330-5004

Authorized Official

Name
DALE COLEE
Title
PRESIDENT
Phone
(217) 429-5165

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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