1710910237 PROVIDENTIA LLC
Community/Retail Pharmacy
Active
Basic Information
- Organization Name
- PROVIDENTIA LLC
- Enumeration Date
- July 8, 2006
- Last Update
- July 28, 2020
- Authorized Official
- ANDREW AARON KOHLER
OWNER/MANAGER
Phone: (918) 743-4491
Practice Location
- Address
- 4112 S PEORIA AVE
TULSA, OK 741057613 - Phone
- (918) 743-4491
- Fax
- (918) 743-5432
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 |
|---|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| 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 | 2-5706 | OK | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100232760 B | 05 | OK | N/A |
| 100232760 A | 05 | OK | N/A |
| 2130880 | 01 | N/A | PK |
Frequently Asked Questions
What is PROVIDENTIA LLC's NPI number?
PROVIDENTIA LLC's NPI number is 1710910237.
Which doctor has NPI number 1710910237?
The doctor with NPI number 1710910237 is PROVIDENTIA LLC.
What is PROVIDENTIA LLC's practice address?
PROVIDENTIA LLC's practice address is 4112 S PEORIA AVE, TULSA, OK, 741057613.
Which doctor practices at 4112 S PEORIA AVE, TULSA, OK, 741057613?
PROVIDENTIA LLC practices at 4112 S PEORIA AVE, TULSA, OK, 741057613.
What is PROVIDENTIA LLC's phone number?
PROVIDENTIA LLC's phone number is (918) 743-4491.
Who is (918) 743-4491?
(918) 743-4491 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) 743-4491 to inquire about availability.
Is NPI 1710910237 still active?
Yes, NPI 1710910237 is currently active.
Where does PROVIDENTIA LLC practice?
PROVIDENTIA LLC practices in TULSA, OK.