Last Updated: 12/21/2024 7:07:07 PM
Facility DetailCorporation / 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? | |
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