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LAKE OF DECATUR INC NPI 1265863468


NPI Information

NPI: 1265863468
Provider Name: LAKE OF DECATUR, INC

Doing Business As: COLEE'S CORNER DRUGS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
845 S ROUTE 51
UNIT B
FORSYTH, IL
ZIP 62535
Phone: (217) 330-9552
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LAKE OF DECATUR, INC is a community/retail pharmacy pharmacy in Forsyth, 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 1265863468. The provider is registered as an organization entity type.
The provider Is Doing Business As Colee's Corner Drugs.

The provider's business location address is:

845 S ROUTE 51
UNIT B
FORSYTH, IL
ZIP 62535-759
Phone: (217) 330-9552
Fax: (217) 791-6280

The provider's authorized official is Dale Colee .
The authorized official title is Owner and has the following contact phone number (217) 429-5165.

The enumeration date for this NPI number is 12/12/2013 and was last updated on 2/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy054-018441ILLINOISYes
23336L0003XPharmacyLong Term Care PharmacyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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