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NPI Code Detail

MEDICARE: MR. WILLIAM E. AXCELL PHARMACIST

MEDICARE:  MR. WILLIAM E. AXCELL  PHARMACIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist9642KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19642OTHERKSSTATE PHARMACISTLICENSE #

General Provider Information

NPI Number : 1588665350
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM E. AXCELL PHARMACIST
Provider Business Mailing Address
First Line : 3510 CLINTON PKWY PL
Second Line : SUITE 220
City : LAWRENCE
State : KS
Zip : 66047-2195
Country : US
Telephone Number : 785-843-0111
Fax Number : 785-843-3818
Provider Business Practice Location Address
First Line : 3510 CLINTON PKWY PL
Second Line : SUITE 220
City : LAWRENCE
State : KS
Zip : 66047-2195
Country : US
Telephone Number : 785-843-0111
Fax Number : 785-843-3818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 07/08/2007

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