Organization
AXLINES INC
Active
Other names
AXLINE PHARMACY (01)
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN JUNE BAIR (PHARMD)
(309) 734-5196
Entity
Organization
Contact information
Practice address
220 N MAIN ST, MONMOUTH, IL 61462-1741
(309) 734-5196
(309) 734-5356
Mailing address
PO BOX 1087, BLOOMINGTON, IL 61702-1087
(309) 734-5196
(309) 734-5356
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
203.000106
IL
3336C0003X
Community/Retail Pharmacy
Primary
54007420
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1409665
NCPDP NUMBER
—
Enumeration date
04/13/2006
Last updated
10/21/2025
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