NPI: 1770854861 · BRIDGEVILLE, PA 15017 · Pharmacy · NPI assigned 01/20/2012
| Authorized Official | SHAMALOV, MICHAEL (MANAGING MEMBER) |
| Parent Organization | MARINA PHARMACY CORP. |
| NPI Enumeration Date | 01/20/2012 |
Other providers sharing the same authorized official: SHAMALOV, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| ALIXA RX LLC | EDEN PRAIRIE | MN | $11K |
| LI SCRIPT LLC | WOODBURY | NY | $0.00 |
| ALIXA RX LLC | INDIANAPOLIS | IN | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 13 | 13 | $0.00 |