ALIXA RX LLC
NPI: 1497020390
· EDEN PRAIRIE, MN 55344
· Pharmacy
· NPI assigned 03/12/2012
Provider Details
| Authorized Official | SHAMALOV, MICHAEL (MANAGING MEMBER) |
| Parent Organization | MARINA PHARMACY CORP |
| NPI Enumeration Date | 03/12/2012 |
Related Entities
Other providers sharing the same authorized official: SHAMALOV, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
15 |
$0.00 |
| 2024 |
454 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9150 |
Non-prescription drugs |
454 |
26 |
$11K |
| 0011A |
|
15 |
15 |
$0.00 |