Boulevard Pharmacy
LBN: Boulevard Pharmacy Inc
Boulevard Pharmacy is an health care organization with primary practice located at 1117 Se Frank Phillips Blvd , Bartlesville OK 74003-4319. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Boulevard Pharmacy Inc can be contacted via phone (918) 336-2140, or through Cole, Jacey via phone (918) 336-2140.
Contact Information
Primary practice address
1117 Se Frank Phillips Blvd
Bartlesville OK 74003-4319
Phone: (918) 336-2140
Fax: (918) 336-2145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1477638567 |
|---|---|
| LBN Legal business name | Boulevard Pharmacy Inc |
| DBA Doing business as | Boulevard Pharmacy |
| Authorized official | Cole, Jacey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Dec 8th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477638567 | NPPES |
| Other | 3703801 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 100232160A | NCPDP PROVIDER IDENTIFICATION NUMBER |
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