Organization · Type 2 NPI

Axline Advanced

Long Term Care Pharmacy · Bloomington, IL

NPI number 1215237359 Active

Practice location

1210 Towanda Ave, Unit 10
Bloomington, IL 61701-3454

Fax (309) 828-6977

Mailing address

1210 Towanda Ave Ste 10, PO Box 1087
Bloomington, IL 61701-7415

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003X054-017559 (IL)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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About NPI 1215237359

Axline Advanced's National Provider Identifier is 1215237359, issued on Oct 22, 2010. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Bloomington, IL. The record was last updated on Mar 16, 2022.