DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE OF DECATUR INC

Active Organization

LAKE OF DECATUR INC is a Long-Term Care Pharmacy organization located in DECATUR, Illinois. NPI 1588613384 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · DECATUR, IL

Registration Details

NPI Number
1588613384
Provider Type
Organization
NPI Issued
May 9, 2006 (20.082790495931 yrs)
Last Updated
Oct 21, 2021
License
54.015385 (IL)

Practice Information

Address
245 W 1ST DR STE B
DECATUR, IL, 625215381
Browse IL providers · Browse ZIP 62521
Phone
2174295165
Fax
2174295172
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Retail Pharmacy
Additional Specialty
3336M0003X
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in DECATUR, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.