AXLINE ADVANCED NPI 1215237359

NPI Information

AXLINE ADVANCED is a long term care pharmacy pharmacy in Bloomington, IL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. AXLINE ADVANCED NPI is 1215237359. The provider is registered as an organization entity type.

The provider's business location address is:

1210 TOWANDA AVE
UNIT 10
BLOOMINGTON, IL
ZIP 61701-454
Phone: (309) 828-6979
Fax: (309) 828-6977

The provider's authorized official is Daniel Paul Duncan .
The authorized official title is Operations Manager and has the following contact phone number (309) 828-6979.

The enumeration date for this NPI number is 10/22/2010 and was last updated on 3/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.