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
10132 WEST 76TH ST, EDEN PRAIRIE, MN 55344
(972) 372-6334
Mailing address
10132 WEST 76TH ST, EDEN PRAIRIE, MN 55344
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/12/2012
Last updated
11/20/2023
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