Axline Advanced

LBN: Axline Advanced
Axline Advanced is an health care organization with primary practice located at 1210 Towanda Ave Unit 10, Bloomington IL 61701-3454. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Axline Advanced can be contacted via phone (309) 828-6979, or through Duncan, Daniel Paul via phone (309) 828-6979.

Contact Information

Primary practice address
1210 Towanda Ave Unit 10 Bloomington IL 61701-3454
Phone: (309) 828-6979
Fax: (309) 828-6977
Website:
Map and Directions
Authorized official contact:
Name: Duncan, Daniel Paul
Phone: (309) 828-6979

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 054-017559 Illinois

Profile Details

NPI number 1215237359
LBN Legal business name Axline Advanced
DBA Doing business as
Authorized official Duncan, Daniel Paul
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2010
Last updated Mar 16th, 2022 - about 4 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 1215237359 NPPES
Illinois Other 054-017559 ILLINOIS LICENSE
Illinois Other 1484978 ILLINOIS LICENSE

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