# DECATUR PHARMACYXPRESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760379465
- **Authorized official:** MAEN QATOUM PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (217) 201-4726

## Contact information

- **Practice address:** 2499 N MONROE ST, DECATUR, IL 62526-3941
- **Practice address phone:** (217) 615-5100
- **Mailing address:** 621 WOLF RD, DECATUR, IL 62526-1148
- **Mailing address phone:** (217) 201-4726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2025
- **Last updated:** 07/29/2025