Lake of Decatur INC
NPI #1588613384 in Decatur, Illinois
Provider Information
- NPI Number
- 1588613384
- Entity Type
- Organization
- Organization Name
- Lake of Decatur INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 9, 2006
- Last Updated
- Oct 21, 2021
Practice Location
Authorized Official
- Name
- DALE COLEE
- Title
- PRESIDENT
- Phone
- (217) 429-5165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Managed Care Organization Pharmacy — Managed Care Organization Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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