Lake Of Decatur Inc
Community/Retail Pharmacy
320 E Central Ave, Decatur
Illinois, 62521-4665
217-330-5004 Lake Of Decatur Inc is a Community/Retail Pharmacy in Decatur, Illinois. It is located at 320 E Central Ave, Decatur and it's customer support contact number is 217-330-5004. The authorized person of Lake Of Decatur Inc is Dale Colee who is President of the pharmacy and his contact number is 217-429-5165. Active license number of Lake Of Decatur Inc is 054.020012 for Community/Retail Pharmacy in Illinois.
Lake Of Decatur Inc 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.
Pharmacy Details:
Lake Of Decatur Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Lake Of Decatur Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 320 E Central Ave, Decatur,
Illinois, 62521-4665 |
| Phone: | 217-330-5004 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dale Colee |
| Position: | President |
| Contact Number: | 217-429-5165 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1386096170 |
| NPI Enumeration Date: | 06 Jul, 2016 |
| NPI Last Update On: | 20 Oct, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Of Decatur Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 054.020012 | Illinois | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2160891 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 320 E Central Ave,
Decatur, Illinois |
| Zip: | 62521-4665 |
| Phone Number: | 217-330-5004 |
Patients can reach Lake Of Decatur Inc at
320 E Central Ave, Decatur, Illinois or can
call on customer care at 217-330-5004.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.