Organization
BIG A DRUGSTORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD DALLAL RPH (PRESIDENT)
(562) 633-9578
Entity
Organization
Contact information
Practice address
12030 GARFIELD AVE, SOUTH GATE, CA 90280-7823
(562) 633-2026
(323) 633-7319
Mailing address
PO BOX 31001, PASADENA, CA 91110-0001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY43388
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566882
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA433880
—
CA
Enumeration date
10/12/2006
Last updated
09/11/2025
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