Organization · NPI-2

B P L P A Pharmacy Corporation

Pharmacy, Community/Retail Pharmacy · Moreno Valley, CA

NPI number1831573963
StatusActive
Last updated in NPPESOct 2, 2018

Details

NPI
1831573963
Entity type
Organization (NPI-2)
Legal business name
B P L P A Pharmacy Corporation
Organization subpart
No
Enumeration date
Jul 18, 2015
Last updated
Oct 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY53649CAYes
333600000X Pharmacy––

Other names

  • Orange Express Pharmacy (Doing Business As)

Practice location

12730 Heacock St Ste 1
Moreno Valley, CA 92553-3040

Phone 951-924-4990 · Fax 951-924-4992

Mailing address

1301 Paseo Grande
Corona, CA 92882-3702

Phone 499-232-4215 · Fax 951-924-4992

Authorized official

George Ibrahim
Owner, Ao
9098774224

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