NPI 1003331612

Boulevard Pharmacy INC

Organisation Clinic/Center Beverly Hills, CA

Practice location

Address: 8950 W Olympic Blvd STE 103&104, Beverly Hills, CA 90211-3561
Phone: (310) 274-8080

Authorised official

Name: Souren Basmadjian
Title: President
Phone: (818) 482-6793

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in California →

Registry record

NPI: 1003331612
Entity type: Organization
NPI issued: 4 Aug 2017
Record last updated: 4 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.