# ALIXA RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARINA PHARMACY CORP.
- **Other names:** Alixa RX
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316200330
- **Legal business name:** MARINA PHARMACY CORP.
- **Authorized official:** MICHAEL SHAMALOV (MANAGING MEMBER)
- **Authorized official phone:** (631) 321-3850

## Contact information

- **Practice address:** 11286 RENNER BLVD, LENEXA, KS 66219-9605
- **Practice address phone:** (972) 372-6300
- **Mailing address:** 11286 RENNER BLVD, LENEXA, KS 66219-9605
- **Mailing address phone:** (972) 372-6300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2012
- **Last updated:** 11/20/2023