Boulevard Pharmacy Inc

LBN: Boulevard Pharmacy Inc
Boulevard Pharmacy Inc is an health care organization with primary practice located at 256 The Blvd , Eden NC 27288-4706. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Boulevard Pharmacy Inc can be contacted via phone (336) 623-8448, or through Johnson, William via phone (336) 623-8881.

Contact Information

Primary practice address
256 The Blvd Eden NC 27288-4706
Phone: (336) 623-8448
Fax: (336) 623-1934
Website:
Map and Directions
Authorized official contact:
Name: Johnson, William
Phone: (336) 623-8881

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 06995 North Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1104924133
LBN Legal business name Boulevard Pharmacy Inc
DBA Doing business as
Authorized official Johnson, William
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1104924133 NPPES
Other 3430674 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0795732 OTHER ID NUMBER-COMMERCIAL NUMBER

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