Axline Pharmacy (05)

LBN: Axline'S Inc.
Axline Pharmacy (05) is an health care organization with primary practice located at 1210 Towanda Ave Ste 11 , Bloomington IL 61701-7415. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Axline'S Inc. can be contacted via phone (309) 828-6767, or through Williams, Troy via phone (309) 828-6767.

Contact Information

Primary practice address
1210 Towanda Ave Ste 11 Bloomington IL 61701-7415
Phone: (309) 828-6767
Fax: (309) 828-6970
Website:
Map and Directions
Authorized official contact:
Name: Williams, Troy RPH
Phone: (309) 828-6767

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054018166 Illinois

Profile Details

NPI number 1982945556
LBN Legal business name Axline'S Inc.
DBA Doing business as Axline Pharmacy (05)
Authorized official Williams, Troy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2013
Last updated Mar 16th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982945556 NPPES
Illinois Other 1487772 NCPDP

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