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
Authorized Official
- Name
- DALE COLEE
- Title
- PRESIDENT
- Phone
- (217) 429-5165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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