Organization
AXIS LLC
Active
Other names
axis grp, llc
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO HOLLEY (CEO)
(281) 872-7230
Entity
Organization
Contact information
Practice address
223 AIRTEX DR, HOUSTON, TX 77090-6627
(281) 872-7230
(281) 251-5635
Mailing address
223 AIRTEX DR, HOUSTON, TX 77090-6627
(281) 872-7230
(281) 251-5635
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4554538
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/04/2009
Last updated
12/16/2009
About Stedi
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