# AXLINE'S INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255344883
- **Authorized official:** TROY L WILLIAMS RPH (OWNER/RPH)
- **Authorized official phone:** (309) 734-5196

## Contact information

- **Practice address:** 125 N MAIN ST, ROSEVILLE, IL 61473-9574
- **Practice address phone:** (309) 426-2954
- **Practice address fax:** (309) 426-2565
- **Mailing address:** 220 N MAIN ST, MONMOUTH, IL 61462-1741
- **Mailing address phone:** (309) 734-5196
- **Mailing address fax:** (309) 734-5356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 54009192 | IL | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 03/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1432195 | NCPDP NUMBER | — |