Healthcare Provider Details

I. General information

NPI: 1629116819
Provider Name (Legal Business Name): VALU-RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 ETIWANDA AVE STE 100
TARZANA CA
91356-3639
US

IV. Provider business mailing address

5525 ETIWANDA AVE STE 100
TARZANA CA
91356-3639
US

V. Phone/Fax

Practice location:
  • Phone: 818-996-9906
  • Fax: 818-996-6203
Mailing address:
  • Phone: 818-996-9906
  • Fax: 818-996-6203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHY45916
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL MOCADAM
Title or Position: PRESIDENT
Credential: PHARM D
Phone: 818-996-9906