Organization
BIG A DRUG STORES INC
Active
Other names
CAMELOT DRUGSTORE
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD DALLAL RPH (PRESIDENT)
(562) 633-9578
Entity
Organization
Contact information
Practice address
2159 PACIFIC COAST HWY, LOMITA, CA 90717-2502
(310) 325-0150
(310) 325-6703
Mailing address
PO BOX 31001-0803, PASADENA, CA 91110-0001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY43392
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0545220
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA433920
—
CA
Enumeration date
10/12/2006
Last updated
09/11/2025
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