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B P L P A PHARMACY CORPORATION NPI 1043314099


NPI Information

NPI: 1043314099
Provider Name: B P L P A PHARMACY CORPORATION

Doing Business As: COLES VILLAGE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
17691 SAN BERNARDINO AVE
FONTANA, CA
ZIP 92335
Phone: (909) 877-4224
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B P L P A PHARMACY CORPORATION is a community/retail pharmacy pharmacy in Fontana, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. B P L P A PHARMACY CORPORATION NPI is 1043314099. The provider is registered as an organization entity type.
The provider Is Doing Business As Coles Village Pharmacy.

The provider's business location address is:

17691 SAN BERNARDINO AVE
FONTANA, CA
ZIP 92335-911
Phone: (909) 877-4224
Fax: (909) 877-1674

The provider's authorized official is George Ibrahim .
The authorized official title is Ceo and has the following contact phone number (949) 232-4215.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 9/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHY50435CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10507737OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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