Provider Demographics
NPI:1942337373
Name:AXXEL INTERNATIONAL CORPHTTPS://ACCESSONLINE.NCPDP.ORG/ACCOU
Entity Type:Organization
Organization Name:AXXEL INTERNATIONAL CORPHTTPS://ACCESSONLINE.NCPDP.ORG/ACCOU
Other - Org Name:AXXEL'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:HECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-738-0999
Mailing Address - Street 1:PO BOX 371239
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-1239
Mailing Address - Country:US
Mailing Address - Phone:787-738-0999
Mailing Address - Fax:787-263-8787
Practice Address - Street 1:64S AVE MUNOZ RIVERA N
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-738-0999
Practice Address - Fax:787-263-8787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PR17-F-20703336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2084697OtherPK