Organization
PACOIMA RX PHARMACY INC
Active
Other names
PACOIMA RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAYER RAFIKALIMY (PRESIDENT/CEO)
(747) 227-3077
Entity
Organization
Contact information
Practice address
13630 VAN NUYS BLVD STE 101, PACOIMA, CA 91331-3655
(747) 227-3077
(747) 227-3078
Mailing address
13630 VAN NUYS BLVD STE 101, PACOIMA, CA 91331-3655
(747) 227-3077
(747) 227-3078
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58755
BOARD OF PHARMACY
CA
Enumeration date
08/29/2022
Last updated
08/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us