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Organization
ALIXA RX LLC
Active
Organization
ALIXA RX LLC
Active
Parent organization
MARINA PHARMACY CORP.
Other names
AlixaRx - PA Hub
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
1041 WASHINGTON PIKE, SUITE 100, BRIDGEVILLE, PA 15017-2704
(412) 319-4910
Mailing address
6400 PINECREST DR, SUITE 200, PLANO, TX 75024-2959
(972) 372-6337
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
01/20/2012
Last updated
11/20/2023
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