Organization · Type 2 NPI

Providentia LLC

Community/Retail Pharmacy · Tulsa, OK

NPI number 1700965472 Active

Practice location

1507 W 51st St
Tulsa, OK 74107-8041

Call (918) 446-1404 Map

Fax (918) 794-1610

Mailing address

4112 S Peoria Ave
Tulsa, OK 74105-7613

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X2-6651 (OK)
Long Term Care Pharmacy 3336L0003XNone listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1700965472

Providentia LLC's National Provider Identifier is 1700965472, issued on Nov 3, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Tulsa, OK. The record was last updated on Nov 8, 2016.