Axline Advanced
NPI #1215237359 in Bloomington, Illinois
Provider Information
- NPI Number
- 1215237359
- Entity Type
- Organization
- Organization Name
- Axline Advanced
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Oct 22, 2010
- Last Updated
- Mar 16, 2022
Practice Location
- Address
- 1210 TOWANDA AVE
- Address 2
- UNIT 10
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3454
- Phone
- (309) 828-6979
Authorized Official
- Name
- MR. DANIEL PAUL DUNCAN
- Title
- OPERATIONS MANAGER
- Phone
- (309) 828-6979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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