Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacoima Rx Pharmacy Inc

Organization Pharmacy · NPI 1104546365

Pacoima Rx Pharmacy Inc is a Pharmacy in Pacoima, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13630 Van Nuys Blvd Ste 101
Pacoima, CA 91331-3655
Phone: (747) 227-3077
Fax: (747) 227-3078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X

Record details

NPI number1104546365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mayer Rafikalimy — President/Ceo · (747) 227-3077
Other names Pacoima Rx Pharmacy
NPI enumeratedAugust 29, 2022
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022
Mailing address13630 Van Nuys Blvd Ste 101, Pacoima, CA 91331-3655

Other providers in Pacoima