FacilityDetail

Last Updated:  1/26/2020 7:36:34 PM

Facility Detail                       
Corporation / Company Owner Name BOULEVARD PHARMACY, INC. 
Business (DBA) Name   BOULEVARD HOMECARE 
License Number  9-S-772 
Facility Type Medical Gas Supplier 
Address

117 SE DEBELL

City, State, Zip BARTLESVILLE,OK 74003-2304 
Country   
Issue Date  12/08/1999 
Renewed Date 05/21/2002
Expiration Date  06/30/2003 
Renewal Month
End Date  02/04/2003 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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