Organization
BIG 1 INC
Active
Other names
BIG 1 PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN CHIN (OFFICER)
(626) 281-2186
Entity
Organization
Contact information
Practice address
415 W VALLEY BLVD, SAN GABRIEL, CA 91776-3728
(626) 281-2186
(626) 281-3583
Mailing address
415 W VALLEY BLVD, SAN GABRIEL, CA 91776-3728
(626) 281-2186
(626) 281-3583
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43845
CA
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991792
PK
—
05
—
PHY438450
—
CA
Enumeration date
08/26/2005
Last updated
12/22/2016
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