Boulevard Pharmaceutical Compounding Center

LBN: Worcester Pharmacy Llc
Boulevard Pharmaceutical Compounding Center is an health care organization with primary practice located at 149 Shrewsbury St , Worcester MA 01604-4637. The organization recently has 2 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Worcester Pharmacy Llc can be contacted via phone (508) 754-1791, or through Boukhatem, Khalid via phone (617) 599-2793.

Contact Information

Primary practice address
149 Shrewsbury St Worcester MA 01604-4637
Phone: (508) 754-1791
Fax: (508) 795-0813
Website:
Map and Directions
Authorized official contact:
Name: Boukhatem, Khalid PHARMD, RPH
Phone: (617) 599-2793

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 2943 Massachusetts
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1821139023
LBN Legal business name Worcester Pharmacy Llc
DBA Doing business as Boulevard Pharmaceutical Compounding Center
Authorized official Boukhatem, Khalid PHARMD, RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Sep 18th, 2019 - about 5 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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