Axline Pharmacy (01)

LBN: Axline'S Inc.
Axline Pharmacy (01) is an health care organization with primary practice located at 220 N Main St , Monmouth IL 61462-1741. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Axline'S Inc. can be contacted via phone (309) 734-5196, or through Williams, Troy L via phone (309) 734-5196.

Contact Information

Primary practice address
220 N Main St Monmouth IL 61462-1741
Phone: (309) 734-5196
Fax: (309) 734-5356
Website:
Map and Directions
Authorized official contact:
Name: Williams, Troy L RPH
Phone: (309) 734-5196

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 203.000106 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 54007420 Illinois

Profile Details

NPI number 1801850276
LBN Legal business name Axline'S Inc.
DBA Doing business as Axline Pharmacy (01)
Authorized official Williams, Troy L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 10th, 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 1801850276 NPPES
Other 1409665 NCPDP NUMBER

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