# COLONIAL DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COLONIAL DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851240303
- **Authorized official:** SUZANNA BALYAN PHARM D (PRESIDENT/CEO)
- **Authorized official phone:** (323) 666-4044

## Contact information

- **Practice address:** 1727 N VERMONT AVE STE 107, LOS ANGELES, CA 90027-4343
- **Practice address phone:** (323) 666-4044
- **Practice address fax:** (323) 662-5674
- **Mailing address:** 1727 N VERMONT AVE STE 107, LOS ANGELES, CA 90027-4343
- **Mailing address phone:** (323) 666-4044
- **Mailing address fax:** (323) 662-5674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2026
- **Last updated:** 01/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHY58247 | BOP | CA |