LAKE OF DECATUR INC is a community/retail pharmacy pharmacy in Decatur, IL. The provider is 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 health care providers, collaborative practice, disease state management, and education classes. LAKE OF DECATUR INC NPI is 1588613384. The provider is registered as an organization entity type.
The provider Is Doing Business As Dales Southlake Pharmacy.
The provider's business location address is:
245 W 1ST DR STE B
DECATUR, IL
ZIP 62521-381
Phone: (217) 429-5165
Fax: (217) 429-5172
The provider's authorized official is Dale Colee .
The authorized official title is President and has the following contact phone number (217) 429-5165.
The CLIA number assigned to this NPI record is 14D2119888 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/9/2006 and was last updated on 10/21/2021.