Provider Demographics
NPI:1588665350
Name:AXCELL, WILLIAM E (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:E
Last Name:AXCELL
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3510 CLINTON PKWY PL
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2195
Mailing Address - Country:US
Mailing Address - Phone:785-843-0111
Mailing Address - Fax:785-843-3818
Practice Address - Street 1:3510 CLINTON PKWY PL
Practice Address - Street 2:SUITE 220
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2195
Practice Address - Country:US
Practice Address - Phone:785-843-0111
Practice Address - Fax:785-843-3818
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9642183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS9642OtherSTATE PHARMACISTLICENSE #