Organization
AXLINE'S INC.
Active
Other names
Axline Pharmacy (08)
Organization subpart
No
Provider details
NPI number
Authorized official
TROY WILLIAMS (OWNER,RPH,AO)
(309) 828-6767
Entity
Organization
Contact information
Practice address
401 W MAIN ST, BUSHNELL, IL 61422-1353
(309) 772-3155
(309) 772-3156
Mailing address
PO BOX 1087, BLOOMINGTON, IL 61702-1087
(309) 828-6767
(309) 828-6970
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054018760
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1413385
NCPDP
IL
Enumeration date
01/22/2007
Last updated
03/16/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up