Organization
BIG A DRUG STORES INC
Active
Other names
DRUG EMPORIUM
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD DALLAL RPH (PRESIDENT)
(562) 633-9578
Entity
Organization
Contact information
Practice address
16119 BROOKHURST ST, FOUNTAIN VALLEY TOWN CTR, FOUNTAIN VALLEY, CA 92708-1547
(714) 839-2598
(714) 839-5842
Mailing address
16119 BROOKHURST ST, FOUNTAIN VALLEY TOWN CTR, FOUNTAIN VALLEY, CA 92708-1547
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY45367
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0579702
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA453670
—
CA
Enumeration date
10/12/2006
Last updated
09/11/2025
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