Whalio Doctors

NPI 1588733869

Boulevard Pharmacy INC

Organisation Durable Medical Equipment & Medical Supplies Bartlesville, OK

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
Suppliers Taxonomy 332B00000X

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.