Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

B P L P a Pharmacy Corporation

Organization Durable Medical Equipment & Medical Supplies · NPI 1043314099

B P L P a Pharmacy Corporation is a Durable Medical Equipment & Medical Supplies in Fontana, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3

Practice location Address checks out

17691 San Bernardino Ave
Fontana, CA 92335-5911
Phone: (909) 877-4224
Fax: (909) 877-1674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY50435 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1043314099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Ibrahim — Ceo · (949) 232-4215
Other names Coles Village Pharmacy; Coles Village Pharmacy
NPI enumeratedSeptember 12, 2006
Last updated in NPPESSeptember 12, 2018
Mailing address1301 Paseo Grande, Corona, CA 92882-3702

Other providers in Fontana