Organization
AK AXEN INCORPORATED
Active
Other names
MEDICO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT AXEN RPH (PIC)
(936) 598-7188
Entity
Organization
Contact information
Practice address
213 HURST ST, CENTER, TX 75935-4321
(936) 598-7188
(936) 591-0418
Mailing address
213 HURST ST, CENTER, TX 75935-4321
(936) 598-7188
(936) 591-0418
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4515649
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
45207
—
TX
Enumeration date
06/13/2006
Last updated
03/01/2010
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