LAKE OF DECATUR INC
Pharmacy - Community/Retail Pharmacy
Active
Organization
NPI: 1588613384
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pharmacy | 333600000X | No | - |
| Pharmacy - Long Term Care Pharmacy | 3336L0003X | No | - |
| Pharmacy - Managed Care Organization Pharmacy | 3336M0003X | No | - |
| Pharmacy - Community/Retail Pharmacy | 3336C0003X | Yes | 54.015385 (IL) |
Frequently Asked Questions
NPI 1588613384 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 May 9, 2006.
Quick Facts
- NPI
- 1588613384
- Type
- Organization
- Enumerated
- May 9, 2006
- Last Updated
- Oct 21, 2021
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