# AXLINE'S INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Axline Pharmacy (08)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285787226
- **Authorized official:** TROY WILLIAMS (OWNER,RPH,AO)
- **Authorized official phone:** (309) 828-6767

## Contact information

- **Practice address:** 401 W MAIN ST, BUSHNELL, IL 61422-1353
- **Practice address phone:** (309) 772-3155
- **Practice address fax:** (309) 772-3156
- **Mailing address:** PO BOX 1087, BLOOMINGTON, IL 61702-1087
- **Mailing address phone:** (309) 828-6767
- **Mailing address fax:** (309) 828-6970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054018760 | IL | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 03/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1413385 | NCPDP | IL |