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Contact Information

JOHN D BOULANGER
11517 SAN SEBASTIAN DR
OKLAHOMA CITY, OK73173-5921
 Phone: 405-625-3051
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JOHN D BOULANGER · (Male)

NPI # 1831054758
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2025
Last updated 12/23/2025 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 20956
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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