Axline Advanced
Axline Advanced is a Long Term Care Pharmacy in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
1210 Towanda Ave Unit 10Bloomington, IL 61701-3454
Phone: (309) 828-6979
Fax: (309) 828-6977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X · Licence 054-017559 (IL) |
|---|
Record details
| NPI number | 1215237359 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daniel Duncan — Operations Manager · (309) 828-6979 |
| NPI enumerated | October 22, 2010 |
| Last updated in NPPES | March 16, 2022 |
| Certification date | March 16, 2022 |
| Mailing address | 1210 Towanda Ave Ste 10, Po Box 1087, Bloomington, IL 61701-7415 |