Organization
BOULEVARD PHARMACY INC
Active
Other names
OLYMPIC BOULEVARD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MURAD GRIGORYAN (PRESIDENT/CEO)
(310) 274-8080
Entity
Organization
Contact information
Practice address
8950 W OLYMPIC BLVD STE 103&104, BEVERLY HILLS, CA 90211-3561
(310) 274-8080
(310) 274-6876
Mailing address
8950 W OLYMPIC BLVD STE 103&104, BEVERLY HILLS, CA 90211-3561
(310) 274-8080
(310) 274-6876
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58821
BOARD OF PHARMACY
CA
Enumeration date
09/22/2006
Last updated
12/13/2022
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