Axline Advanced is not a DME supplier for medicare equipments and products.
Axline Advanced is a Long Term Care Pharmacy in Bloomington, Illinois. It is located at 1210 Towanda Ave, Unit 10, Bloomington and it's customer support contact number is 309-828-6979. The authorized person of Axline Advanced is Mr. Daniel Paul Duncan who is Operations Manager of the pharmacy and his contact number is 309-828-6979. Active license number of Axline Advanced is 054-017559 for Long Term Care Pharmacy in Illinois. Axline Advanced is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Axline Advanced type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Axline Advanced
Type:
Long Term Care Pharmacy
Location:
1210 Towanda Ave, Unit 10, Bloomington, Illinois, 61701-3454
Phone:
309-828-6979
Fax:
309-828-6977
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Daniel Paul Duncan
Position:
Operations Manager
Contact Number:
309-828-6979
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1215237359
NPI Enumeration Date:
22 Oct, 2010
NPI Last Update On:
16 Mar, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Axline Advanced are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
054-017559
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
054-017559
Other
Illinois
Illinois License
1484978
Other
Illinois
Ncpdp
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1210 Towanda Ave Ste 10, Po Box 1087 Bloomington, Illinois
Zip:
61701-7415
Phone Number:
309-828-6979
Fax Number:
309-828-6977
Patients can reach Axline Advanced at 1210 Towanda Ave, Unit 10, Bloomington, Illinois or can call on customer care at 309-828-6979.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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