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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | BPLP, A Pharmacy Corp dba Cole's Village Pharmacy | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1043314099 | [sources] | |||
| Registration number | PHA307840 · PHA443400 · PHY 30784 · PHY 44340 · PHY 50435 | [sources] | |||
| Sector | Pharmacy/Pharmacist | [sources] | |||
| Address | 1301 Paseo Grande,Corona, CA 92882 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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