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Organization
ALIXA RX LLC
Active
Organization
ALIXA RX LLC
Active
Parent organization
MARINA PHARMACY CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARINA PHARMACY CORP
Authorized official
MR. HUAN NGUYEN (VICE PRESIDENT)
(972) 372-6300
Entity
Organization
Contact information
Practice address
11225 DAVENPORT ST, SUITE 104A, OMAHA, NE 68154-2641
(479) 201-8290
Mailing address
6400 PINECREST DR STE 200, PLANO, TX 75024-2962
(214) 778-0300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
550
NE
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026399500
—
NE
Enumeration date
11/05/2013
Last updated
03/30/2018
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