LAKE OF DECATUR INC

Pharmacy - Community/Retail Pharmacy

Active Organization
NPI: 1386096170

Practice Address

320 E CENTRAL AVE
Decatur, IL 62521

Phone: (217) 330-5004

Specialties

Specialty Code Primary License
Pharmacy 333600000X No -
Pharmacy - Community/Retail Pharmacy 3336C0003X Yes 054.020012 (IL)

Frequently Asked Questions

NPI 1386096170 is the National Provider Identifier for LAKE OF DECATUR INC, a Pharmacy - Community/Retail Pharmacy provider located in Decatur, IL. This NPI was enumerated on July 6, 2016.

Quick Facts

NPI
1386096170
Type
Organization
Enumerated
Jul 6, 2016
Last Updated
Oct 20, 2021

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