Lake of Decatur Inc
Lake of Decatur Inc is a Pharmacy in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
245 W 1st Dr Ste BDecatur, IL 62521-5381
Phone: (217) 429-5165
Fax: (217) 429-5172
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 54.015385 (IL) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Long Term Care Pharmacy | Taxonomy 3336L0003X |
| Managed Care Organization Pharmacy | Taxonomy 3336M0003X |
Record details
| NPI number | 1588613384 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dale Colee — President · (217) 429-5165 |
| Other names | Dales Southlake Pharmacy; Dales Southlake Pharmacy |
| NPI enumerated | May 9, 2006 |
| Last updated in NPPES | October 21, 2021 |
| Certification date | October 21, 2021 |
| Mailing address | 245 W 1st Dr Ste B, Decatur, IL 62521-5381 |
Other providers in Decatur
-
Decatur Memorial Hospital
2300 N Edward St, Decatur, IL 62526-4163 · (217) 876-6252
-
Highland Park Cvs LLC
2990 N Monroe St, Decatur, IL 62526-3266 · (217) 877-1703
-
Illini Pharmacy Services LLC
675 W Imboden Dr, Decatur, IL 62521-9068 · (217) 791-6340
-
Lake of Decatur Inc
320 E Central Ave, Decatur, IL 62521-4665 · (217) 330-5004
-
Victory Pharmacy
2280 E William St, Decatur, IL 62521-1528 · (217) 422-1000