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Organization
ALIXA RX LLC
Active
Organization
ALIXA RX LLC
Active
Parent organization
MARINA PHARMACY CORP.
Other names
Alixa RX
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARINA PHARMACY CORP.
Authorized official
MICHAEL SHAMALOV (MANAGING MEMBER)
(631) 321-3850
Entity
Organization
Contact information
Practice address
11286 RENNER BLVD, LENEXA, KS 66219-9605
(972) 372-6300
Mailing address
11286 RENNER BLVD, LENEXA, KS 66219-9605
(972) 372-6300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
06/25/2012
Last updated
11/20/2023
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