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Lake of Decatur, Inc — NPI 1265863468, Forsyth, IL | NPI Central

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NPI 1265863468

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Lake of Decatur, Inc

NPI 1265863468 · Community/Retail Pharmacy · Forsyth, IL

Provider details

NPI number: 1265863468
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Dale Colee, Owner(217) 429-5165

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 054-018441 (IL)
Suppliers
Long Term Care Pharmacy3336L0003X
Suppliers

Practice location

845 S Route 51

Unit B

Forsyth, IL 62535-9759

Phone: (217) 330-9552

Fax: (217) 791-6280

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

845 S Route 51

Forsyth, IL 62535-9759

Other names (DBA / former)

Doing business as: Colee'S Corner Drugs
Doing business as: Colee'S Corner Drugs

Registry dates

Enumerated: 2013-12-12
Last updated: 2020-02-20
Certified: 2020-02-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.