Boulevard Pharmacy Inc
Durable Medical Equipment & Medical Supplies
1117 Se Frank Phillips Blvd, Bartlesville
Oklahoma, 74003-4319
918-336-2388 918-336-0016
Boulevard Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in Bartlesville, Oklahoma. It is located at 1117 Se Frank Phillips Blvd, Bartlesville and it's customer support contact number is 918-336-2388. The authorized person of Boulevard Pharmacy Inc is Mr. Kirk Deshazo who is President/owner of this DME and his contact number is 918-336-2388.
Boulevard Pharmacy Inc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Boulevard Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Boulevard Pharmacy Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1117 Se Frank Phillips Blvd, Bartlesville,
Oklahoma, 74003-4319 |
| Phone: | 918-336-2388 |
| Fax: | 918-336-0016 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Kirk Deshazo |
| Position: | President/owner |
| Contact Number: | 918-336-2388 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1588733869 |
| NPI Enumeration Date: | 08 Nov, 2006 |
| NPI Last Update On: | 08 Dec, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Boulevard Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100232160B | Medicaid | Oklahoma | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1117 Se Frank Phillips Blvd,
Bartlesville, Oklahoma |
| Zip: | 74003-4319 |
| Phone Number: | 918-336-2388 |
| Fax Number: | 918-336-0016 |
Patients can reach Boulevard Pharmacy Inc at
1117 Se Frank Phillips Blvd, Bartlesville, Oklahoma or can
call on customer care at 918-336-2388.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.