NPI: 1710155007 · WOODBURY, NY 11797 · Long Term Care Pharmacy · NPI assigned 02/20/2008
| Authorized Official | SHAMALOV, MICHAEL (PHARMACY DIRECTOR) |
| NPI Enumeration Date | 02/20/2008 |
Other providers sharing the same authorized official: SHAMALOV, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| ALIXA RX LLC | EDEN PRAIRIE | MN | $11K |
| ALIXA RX LLC | BRIDGEVILLE | PA | $0.00 |
| ALIXA RX LLC | INDIANAPOLIS | IN | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 85 | $0.00 |