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Organization

ALIXA RX LLC

Active
Parent organization
MARINA PHARMACY CORP
Other names
AlixaRx - IN 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
5635 W 96TH ST, INDIANAPOLIS, IN 46278-6011
(877) 512-8747
Mailing address
5635 W 96TH ST, INDIANAPOLIS, IN 46278-6011

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
03/21/2012
Last updated
11/20/2023
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