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Organization

BIG A DRUG STORE INC

Active
Other names
DRUG BARN
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD DALLAL RPH (PRESIDENT)
(562) 633-9578
Entity
Organization

Contact information

Practice address
4925 JUNIPERO SERRA BLVD, COLMA, CA 94014-3216
(650) 997-3985
(650) 994-8739
Mailing address
4925 JUNIPERO SERRA BLVD, COLMA, CA 94014-3216

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY43396
CA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0547743
OTHER ID NUMBER-COMMERCIAL NUMBER
05
PHA433960
CA
Enumeration date
10/12/2006
Last updated
09/11/2025
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