ALIXA RX LLC
NPI: 1881969921
· INDIANAPOLIS, IN 46278
· Pharmacy
· NPI assigned 03/21/2012
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SHAMALOV, MICHAEL (MANAGING MEMBER) |
| Parent Organization | MARINA PHARMACY CORP |
| NPI Enumeration Date | 03/21/2012 |
Related Entities
Other providers sharing the same authorized official: SHAMALOV, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
821 |
$0.00 |
| 2022 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
481 |
480 |
$0.00 |
| 0001A |
|
146 |
146 |
$0.00 |
| 0012A |
|
34 |
34 |
$0.00 |
| 0064A |
|
133 |
133 |
$0.00 |
| 0031A |
|
39 |
39 |
$0.00 |