340B Drug Pricing Program Database


DALE'S SOUTHLAKE PHARMACY - information as of 4/29/2025 12:44:14 AM


DALE'S SOUTHLAKE PHARMACY

245 W 1ST DR STE B
LAKE OF DECATUR, INC.
DECATUR, IL 62521-5381



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH053150COMMUNITY HEALTH IMPROVEMENT CENTERCOMMUNITY HEALTH IMPROVEMENT CENTERHRSA-Funded Health Center320 East Central Avenue
DecaturIL09/19/201106/30/20246/30/2024 12:01 AM
DetailsCHC24098-00SOUTHERN ILLINOIS UNIVERSITYSIU Center for Family MedicineHRSA-Funded Health Center520 N 4th St
SpringfieldIL04/01/201803/30/20183/22/2019 7:13 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  DALE'S SOUTHLAKE PHARMACY 245 W 1ST DR STE B LAKE OF DECATUR, INC. DECATUR, IL 62521-53816/25/2019 2:08 PM
AddressesPharmacy AddressInsert  DALE'S SOUTHLAKE PHARMACY LAKE OF DECATUR, INC. 245 W. FIRST DRIVE, STE B DECATUR, IL 62521-62529/29/2017 6:44 AM
AddressesPharmacy AddressUpdate DALE'S SOUTHLAKE PHARMACY LAKE OF DECATUR, INC. DECATUR, IL 62521DALE'S SOUTHLAKE PHARMACY LAKE OF DECATUR, INC. 245 W. FIRST DRIVE, STE B DECATUR, IL 62521-62525/25/2016 12:20 PM
AddressesPharmacy AddressUpdate Dale's Southlake Pharmacy 245 W. 1st Drive Decatur, IL 62521DALE'S SOUTHLAKE PHARMACY LAKE OF DECATUR, INC. DECATUR, IL 625213/28/2013 4:21 PM
DetailsNameUpdate Dale's Southlake PharmacyDALE'S SOUTHLAKE PHARMACY3/28/2013 4:21 PM
DetailsCommentsInsert   8/17/2011 1:50 PM
DetailsIs DeletedInsert  False8/17/2011 1:50 PM
AddressesPharmacy AddressInsert  Dale's Southlake Pharmacy 245 W. 1st Drive Decatur, IL 625218/17/2011 1:50 PM
DetailsNameInsert  Dale's Southlake Pharmacy8/17/2011 1:50 PM