Is the principle of least action a boundary value or initial condition problem?
I) Initial value problems and boundary value problems are two different classes of questions that we can ask about Nature.
Example: To be concrete:
an initial value problem could be to ask about the classical trajectory of a particle if the initial position $q_i$ and the initial velocity $v_i$ are given,
while a boundary value problem could be to ask about the classical trajectory of a particle if the initial position $q_i$ and the final position $q_f$ are given (i.e. Dirichlet boundary conditions).
II) For boundary value problems, there are no teleology, because we are not deriving a (100 percent certain deterministic) prediction about the final state, but instead we are merely stating that if the final state is such and such, then we can derive such and such.
III) First let us discuss the classical case. Typically the evolution equations (also known as the equations of motion(eom), e.g. Newton's 2nd law) are known, and in particular they do not depend on whether we want to pose an initial value question or a boundary value question.
Let us assume that the eom can be derived from an action principle. (So if we happen to have forgotten the eom, we could always rederive them by doing the following side-calculation: Vary the action with fixed (but arbitrary) boundary values to determine the eom. The specific fixed values at the boundary doesn't matter because we only want to be reminded about the eom; not to determine an actual solution, e.g. a trajectory.)
IV) Next let us consider either an initial value problem or a boundary value problem, that we would like to solve.
Firstly, if we have an initial value problem, we can solve the eom directly with the given initial conditions. (It seems that this is where OP might want to set up a boundary value problem, but that would precisely be the side-calculation mentioned in section III, and it has nothing to do with the initial value problem at hand.)
Secondly, if we have a boundary value problem, there are two possibilities:
We could solve the eom directly with the given boundary conditions.
We could set up a variational problem using the given boundary conditions.
V) Finally, let us briefly mention the quantum case. If we would try to formulate the path integral
$$\int Dq ~e^{\frac{i}{\hbar}S[q]}$$
as an initial value problem, we would face various problems:
The concept of a classical path would be ill-defined. This is related to that the concept of the functional derivative $$\frac{\delta S[q]}{\delta q(t)}$$ would be ill-defined, basically because we cannot apply the usual integration-by-part trick when the (final) boundary terms do not vanish.
To specify both the initial position $q_i$ and the initial velocity $v_i$ would violate the Heisenberg uncertainty principle.
The usual derivation of the Euler-Lagrange equations forces us to assume that both the initial and final conditions are fixed. However, when one actually derives the equations, he sees that there are differential equations in time so from the knowledge of the initial state, including the velocities (or whatever derivatives are needed to specify the initial point of the phase space), one may derive the values at an infinitesimally later moment.
That's why the "teleological", acausal character of the principle of least action is just an illusion. The trajectory at time $t$ doesn't really depend on any "assumed" values of the fields at later times. This fact may not be obvious immediately, when the principle is formulated, but it is nevertheless true and easy to see via the mathematical derivation of what the principle implies.
The best way to understand this teleological property is the path integral--- the final boundary condition is required because the action is the amplitude phase for a path, and the stationary condition is saying that you are taking the path of stationary phase, so that the contributions add coherently.
Then the relation between this and the differential formulation is manifest, as Lubos Motl explains. The condition for an extremal path is enforced by a local differential equation. This is not mysterious, because the sum over all paths is not teleological at all, it becomes teleological when you consider that you seem to have taken a stationary path, but this is a consequence of the cancellation away from the stationary path.