Organization
DECATUR PHARMACYXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAEN QATOUM PHARMD (PHARMACIST IN CHARGE)
(217) 201-4726
Entity
Organization
Contact information
Practice address
2499 N MONROE ST, DECATUR, IL 62526-3941
(217) 615-5100
Mailing address
621 WOLF RD, DECATUR, IL 62526-1148
(217) 201-4726
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
07/29/2025
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