Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boulevard Pharmacy Inc

Organization Pharmacy · NPI 1104924133

Boulevard Pharmacy Inc is a Pharmacy in Eden, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

256 The Blvd
Eden, NC 27288-4706
Phone: (336) 623-8448
Fax: (336) 623-1934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X · Licence 06995 (NC)

Record details

NPI number1104924133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Johnson — Owner Manager President · (336) 623-8881
NPI enumeratedSeptember 21, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 2186, Eden, NC 27289-2186

Other providers in Eden