# ALIXA RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARINA PHARMACY CORP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396174892
- **Legal business name:** MARINA PHARMACY CORP
- **Authorized official:** MR. HUAN NGUYEN (VICE PRESIDENT)
- **Authorized official phone:** (972) 372-6300

## Contact information

- **Practice address:** 11225 DAVENPORT ST, SUITE 104A, OMAHA, NE 68154-2641
- **Practice address phone:** (479) 201-8290
- **Mailing address:** 6400 PINECREST DR STE 200, PLANO, TX 75024-2962
- **Mailing address phone:** (214) 778-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 550 | NE | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2013
- **Last updated:** 03/30/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026399500 | — | NE |