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Boulevard Pharmacy Inc — NPI 1477638567, Bartlesville, OK | NPI Central

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OrganizationActive

Boulevard Pharmacy Inc

NPI 1477638567 · Community/Retail Pharmacy · Bartlesville, OK

Provider details

NPI number: 1477638567
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Jacey Cole, Owner(918) 336-2140

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers
Compounding Pharmacy3336C0004X
Suppliers
Long Term Care Pharmacy3336L0003X
Suppliers

Practice location

1117 Se Frank Phillips Blvd

Bartlesville, OK 74003-4319

Phone: (918) 336-2140

Fax: (918) 336-2145

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

1117 Se Frank Phillips Blvd

Bartlesville, OK 74003-4319

Other names (DBA / former)

Doing business as: Boulevard Pharmacy
Doing business as: Boulevard Pharmacy

Registry dates

Enumerated: 2006-10-26
Last updated: 2021-12-08
Certified: 2021-12-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.