Coles Village Pharmacy

Community/Retail Pharmacy Accepts Medicare


  
  17691 San Bernardino Ave, Fontana
California, 92335-5911

 909-877-4224    909-877-1674
Coles Village Pharmacy is a Community/Retail Pharmacy in Fontana, California. This pharmacy is owned and operated by B P L P A Pharmacy Corporation. It is located at 17691 San Bernardino Ave, Fontana and it's customer support contact number is 909-877-4224. The authorized person of Coles Village Pharmacy is George Ibrahim, RPH who is Ceo of the pharmacy and his contact number is 949-232-4215. Active license number of Coles Village Pharmacy is PHY50435 for Community/Retail Pharmacy in California. Coles Village Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Coles Village Pharmacy 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.


Pharmacy Details:
Coles Village Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Coles Village Pharmacy
Type: Community/Retail Pharmacy
Location:17691 San Bernardino Ave, Fontana,
California, 92335-5911
Phone:909-877-4224
Fax:909-877-1674
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: George Ibrahim
Credentials: RPH
Position: Ceo
Contact Number: 949-232-4215
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1043314099
NPI Enumeration Date: 12 Sep, 2006
NPI Last Update On: 12 Sep, 2018

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coles Village Pharmacy are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy PHY50435CaliforniaPrimary
Durable Medical Equipment & Medical Supplies Secondary
Long Term Care Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
0507737OtherNcpdp Provider Identification Number
Medicare Enrollment:
Coles Village Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
9931220175O20100930003373B P L P A Pharmacy CorporationDME SUPPLIER - PHARMACY
Products Available:
Coles Village Pharmacy has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Mail Order
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 1301 Paseo Grande,
    Corona, California
    Zip: 92882-3702
    Phone Number: 949-232-4215
    Fax Number: --
    Patients can reach Coles Village Pharmacy at 17691 San Bernardino Ave, Fontana, California or can call on customer care at 909-877-4224.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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