Boulevard Pharmacy INC
NPI #1477638567 in Bartlesville, Oklahoma
Provider Information
- NPI Number
- 1477638567
- Entity Type
- Organization
- Organization Name
- Boulevard Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Dec 8, 2021
Practice Location
- Address
- 1117 SE FRANK PHILLIPS BLVD
- City
- Bartlesville
- State
- Oklahoma
- ZIP Code
- 74003-4319
- Phone
- (918) 336-2140
Authorized Official
- Name
- JACEY COLE
- Title
- OWNER
- Phone
- (918) 336-2140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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