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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Long Term Care Pharmacy |
3336L0003X | 58 | Medical Supply Company with Pharmacist | |
Managed Care Organization Pharmacy |
3336M0003X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1588613384 |
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| LBN Legal business name | LAKE OF DECATUR INC | ||||||||
| Authorized official | DALE COLEE - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/09/2006 | ||||||||
| Last updated | 10/21/2021 - About 5 years ago | ||||||||
| Identifiers |
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LAKE OF DECATUR INC
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| TOWN & COUNTRY PHARMACIES, INC. 1035 EAST PERSHING RD. DECATUR, IL |
| HIGHLAND PARK CVS, L.L.C. 60 CLINTON PLZ SC CLINTON, IL |
| LINDA JENIG 230 THOMAS DRIVE 10000 DALE, IL |
| VICTORIA R GREENLEE, MOT 719 N MARION STREET 60302, IL |
LAKE OF DECATUR INC