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LAKE OF DECATUR INC
Community/Retail Pharmacy
NPI: 1588613384Organization
Specialties, Licenses & Credentials
Pharmacy
Pharmacy
Code: 333600000X
Long Term Care Pharmacy
Pharmacy — Long Term Care Pharmacy
Code: 3336L0003X
Managed Care Organization Pharmacy
Pharmacy — Managed Care Organization Pharmacy
Code: 3336M0003X
Community/Retail PharmacyPrimary
Pharmacy — Community/Retail Pharmacy
Code: 3336C0003X
54.015385(IL)
Contact & Hours
- Address
- 245 W 1ST DR STE B
DECATUR, IL 62521 - Phone
- (217) 429-5165
Quick Facts
- NPI
- 1588613384
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 4
- Locations
- 1
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