NPI
B P L P A Pharmacy Corporation
Doing business as Coles Village Pharmacy. Phone (909) 877-4224 · Fax (909) 877-1674 · NPI 1043314099
Read from the NPPES registry on October 26, 2026.
Coles Village Pharmacy pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-09-12
- Last updated
- 2018-09-12
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Specialties
Licenses
- License CA
- PHY50435
Location
- Practice location
- 17691 San Bernardino Ave
- City
- Fontana CA
- Postal code
- 92335-5911
- Phone
- (909) 877-4224
- Fax
- (909) 877-1674
Organization contact
- Name
- George Ibrahim
- Title
- CEO
- Phone
- (949) 232-4215
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Pharmacy, Community/Retail Pharmacy providers in Fontana, CA. 26 with this primary taxonomy in the public file.
Other NPIs in Fontana, CA. 3,540 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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