<Unavail>

LBN: B P L P A Pharmacy Corporation
<Unavail> is an health care organization with primary practice located at 12730 Heacock St Ste 1 , Moreno Valley CA 92553-3040. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. B P L P A Pharmacy Corporation can be contacted via phone (951) 924-4990, or through Ibrahim, George via phone (909) 877-4224.

Contact Information

Primary practice address
12730 Heacock St Ste 1 Moreno Valley CA 92553-3040
Phone: (951) 924-4990
Fax: (951) 924-4992
Website:
Map and Directions
Authorized official contact:
Name: Ibrahim, George
Phone: (909) 877-4224

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY53649 California

Profile Details

NPI number 1831573963
LBN Legal business name B P L P A Pharmacy Corporation
DBA Doing business as <Unavail>
Authorized official Ibrahim, George
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2015
Last updated Oct 2nd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831573963 NPPES
California MEDICAID 1831573963
California Other 2154167

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