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:
Map and Directions
Authorized official contact:
Name: Cole, Jacey
Phone: (918) 336-2140

Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477638567 NPPES
Other 3703801 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 100232160A NCPDP PROVIDER IDENTIFICATION NUMBER

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