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

Providentia LLC

Organization Pharmacy · NPI 1700965472

Providentia LLC is a Pharmacy in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1507 W 51st St
Tulsa, OK 74107-8041
Phone: (918) 446-1404
Fax: (918) 794-1610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 2-6651 (OK)
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1700965472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Dotson — Owner · (918) 688-9149
Other names Freeland Brown Pharmacy No. 2
NPI enumeratedNovember 3, 2006
Last updated in NPPESNovember 8, 2016
Mailing address4112 S Peoria Ave, Tulsa, OK 74105-7613

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