BOULEVARD PHARMACY INC
Medical Equipment Supplier Yellow Pages
Bartlesville, Oklahoma
Provider NPI: 1588733869
Organization Information:Organization Name: BOULEVARD PHARMACY INC
Practice Location:
1117 SE FRANK PHILLIPS BLVD BARTLESVILLE, OK 74003 US
Tel: 918-336-2388 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1117 SE FRANK PHILLIPS BLVD BARTLESVILLE, OK 74003 US
Tel: 918-336-2388 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100232160B | OK | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin