Organization
BOULEVARD PHARMACY INC
Active
Other names
TreatMedNgo
Organization subpart
No
Provider details
NPI number
Authorized official
SOUREN BASMADJIAN (PRESIDENT)
(818) 482-6793
Entity
Organization
Contact information
Practice address
8950 W OLYMPIC BLVD STE 103&104, BEVERLY HILLS, CA 90211-3561
(310) 274-8080
Mailing address
8950 W OLYMPIC BLVD STE 103&104, BEVERLY HILLS, CA 90211-3561
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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