Providentia LLC
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.
Practice location Address checks out
1507 W 51st StTulsa, OK 74107-8041
Phone: (918) 446-1404
Fax: (918) 794-1610
Show map & directions
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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 · Licence 2-6651 (OK) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Long Term Care Pharmacy | Taxonomy 3336L0003X |
Record details
| NPI number | 1700965472 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Dotson — Owner · (918) 688-9149 |
| Other names | Freeland Brown Pharmacy No. 2 |
| NPI enumerated | November 3, 2006 |
| Last updated in NPPES | November 8, 2016 |
| Mailing address | 4112 S Peoria Ave, Tulsa, OK 74105-7613 |
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