| NPI | 1982945556 |
|---|---|
| Doing Business As | AXLINE PHARMACY (05) |
| Entity Type | Organization |
| Authorized Contact | TROY WILLIAMS Owner/President 309-828-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054018166) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2022-03-16 |