NPI 1588733869
Boulevard Pharmacy INC
Practice location
- Address
- 1117 SE Frank Phillips Blvd, Bartlesville, OK 74003-4319
- Phone
- (918) 336-2388
- Fax
- (918) 336-0016
Authorised official
- Name
- Kirk Deshazo
- Title
- President/Owner
- Phone
- (918) 336-2388
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1588733869
- Entity type
- Organization
- NPI issued
- 8 Nov 2006
- Record last updated
- 8 Dec 2021
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.