Individual provider · Type 1 NPI
John Douglas Boulanger
Pharmacist · Oklahoma City, OK
Practice location
11517 San Sebastian Dr
Oklahoma City, OK 73173-5921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 20956 (OK) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1831054758
John Douglas Boulanger's National Provider Identifier is 1831054758, issued on Dec 23, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 23, 2025.