1700965472 PROVIDENTIA LLC
Community/Retail Pharmacy
Active
Basic Information
- Organization Name
- PROVIDENTIA LLC
- Enumeration Date
- November 3, 2006
- Last Update
- November 8, 2016
- Authorized Official
- MICHAEL DOTSON BS PHARMACY
OWNER
Phone: (918) 688-9149
Practice Location
- Address
- 1507 W 51ST ST
TULSA, OK 741078041 - Phone
- (918) 446-1404
- Fax
- (918) 794-1610
Mailing Address
- Address
- 4112 S PEORIA AVE
TULSA, OK 741057613 - Phone
- (918) 743-4491
- Fax
- (918) 743-5432
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Pharmacy | 333600000X | Pharmacy | N/A | N/A | No |
| Long Term Care Pharmacy Long Term Care Pharmacy | 3336L0003X | Pharmacy | N/A | N/A | No |
| Community/Retail Pharmacy Community/Retail Pharmacy | 3336C0003X | Pharmacy | 2-6651 | OK | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100235670G | 05 | OK | N/A |
| 2144892 | 01 | N/A | PK |
Frequently Asked Questions
What is PROVIDENTIA LLC's NPI number?
PROVIDENTIA LLC's NPI number is 1700965472.
Which doctor has NPI number 1700965472?
The doctor with NPI number 1700965472 is PROVIDENTIA LLC.
What is PROVIDENTIA LLC's practice address?
PROVIDENTIA LLC's practice address is 1507 W 51ST ST, TULSA, OK, 741078041.
Which doctor practices at 1507 W 51ST ST, TULSA, OK, 741078041?
PROVIDENTIA LLC practices at 1507 W 51ST ST, TULSA, OK, 741078041.
What is PROVIDENTIA LLC's mailing address?
PROVIDENTIA LLC's mailing address is 4112 S PEORIA AVE, TULSA, OK, 741057613.
What is PROVIDENTIA LLC's phone number?
PROVIDENTIA LLC's phone number is (918) 446-1404.
Who is (918) 446-1404?
(918) 446-1404 is the phone number for PROVIDENTIA LLC.
What is PROVIDENTIA LLC's specialty?
PROVIDENTIA LLC's specialty is Community/Retail Pharmacy.
What type of doctor is PROVIDENTIA LLC?
PROVIDENTIA LLC is a Community/Retail Pharmacy.
Is PROVIDENTIA LLC a Community/Retail Pharmacy?
Yes, PROVIDENTIA LLC is a Community/Retail Pharmacy.
Is PROVIDENTIA LLC still practicing?
Yes, PROVIDENTIA LLC is currently practicing.
Is PROVIDENTIA LLC accepting new patients?
PROVIDENTIA LLC may be accepting new patients. Please call their office at (918) 446-1404 to inquire about availability.
Is NPI 1700965472 still active?
Yes, NPI 1700965472 is currently active.
Where does PROVIDENTIA LLC practice?
PROVIDENTIA LLC practices in TULSA, OK.