Organization · Type 2 NPI

Lake of Decatur Inc

Community/Retail Pharmacy · Decatur, IL

NPI number 1386096170 Active

Practice location

320 E Central Ave
Decatur, IL 62521-4665

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X054.020012 (IL)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1386096170

Lake of Decatur Inc's National Provider Identifier is 1386096170, issued on Jul 6, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Decatur, IL. The record was last updated on Oct 20, 2021.