Provider Demographics
NPI:1598715781
Name:DECO INC.
Entity Type:Organization
Organization Name:DECO INC.
Other - Org Name:TURNER PRESCRIPTION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:309-343-9168
Mailing Address - Street 1:12 PUBLIC SQ
Mailing Address - Street 2:
Mailing Address - City:GALESBURG
Mailing Address - State:IL
Mailing Address - Zip Code:61401-4526
Mailing Address - Country:US
Mailing Address - Phone:309-343-9168
Mailing Address - Fax:309-343-4616
Practice Address - Street 1:12 PUBLIC SQ
Practice Address - Street 2:
Practice Address - City:GALESBURG
Practice Address - State:IL
Practice Address - Zip Code:61401-4526
Practice Address - Country:US
Practice Address - Phone:309-343-9168
Practice Address - Fax:309-343-4616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1444049OtherNABP
IL=========001Medicaid
IL=========001Medicaid