OrganizationBig A Drug Stores Inc(Drug Emporium)PharmacySuppliersPractice Address13852 Red Hill Ave, Tustin, CA 92780-4637(714) 544-4701PECOS EnrollmentBased on the most recent information from CMS, provider Big A Drug Stores Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1154410702Provider TypeOrganizationFull NameBig A Drug Stores IncOther NameDrug EmporiumSubpartNoEnumeration Date10/12/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address13852 Red Hill Ave, Tustin, CA 92780-4637Phone(714) 544-4701Fax(714) 544-8076Mailing LocationMailing AddressPO Box 31001, Pasadena, CA 91110-0001PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameDallal, Edward (President)Phone(562) 633-9578Provider TaxonomiesCodeDescriptionLicenseCode333600000XDescriptionPharmacySuppliersLicensePHY45368CaliforniaCode3336C0003XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDPHA453680DescriptionMedicaidIssuerUnlistedCaliforniaID0582064DescriptionOtherIssuerOTHER ID NUMBER-COMMERCIAL NUMBER