Lake of Decatur, Inc
Lake of Decatur, Inc is a Community/Retail Pharmacy in Forsyth, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
845 S Route 51 Unit BForsyth, IL 62535-9759
Phone: (217) 330-9552
Fax: (217) 791-6280
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 054-018441 (IL) |
|---|---|
| Long Term Care Pharmacy | Taxonomy 3336L0003X |
Record details
| NPI number | 1265863468 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dale Colee — Owner · (217) 429-5165 |
| Other names | Colee'S Corner Drugs; Colee'S Corner Drugs |
| NPI enumerated | December 12, 2013 |
| Last updated in NPPES | February 20, 2020 |
| Certification date | February 20, 2020 |
| Mailing address | 845 S Route 51, Unit B, Forsyth, IL 62535-9759 |