Providentia Llc in Tulsa - Community/retail Pharmacy
Providentia Llc - NPI 1710910237
Providentia Llc is a Community/retail Pharmacy in Tulsa, Oklahoma. Providentia Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Providentia Llc is 1710910237. The last update date is 2020-07-28.
Providentia Llc's current location address is 4112 S Peoria Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9187434491 and fax number 9187435432. The mailing address for Providentia Llc is 4112 S Peoria Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providentia Llc |
|---|---|
| Address | 4112 S Peoria Ave, Tulsa, Oklahoma |
| Phone Number | 9187434491 |
| Fax Number | 9187435432 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/MANA |
|---|---|
| Authorized Official Name | Kohler Aaron Andrew |
| Telephone Number | 9187434491 |
NPI Number Detail
| NPI Number | 1710910237 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2020-07-28 |
Provider Mailing Address Detail
| Address | 4112 S Peoria Ave |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741057613 |
| Phone Number | 9187434491 |
| Fax Number | 9187435432 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 5706-02-01 0 |
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Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100232760 B | OK | -- | |
| 100232760 A | OK | -- | |
| 2130880 | PK |
Post Comment/ Review Below
What is the Providentia Llc's unique identification number?
The Providentia Llc has been assigned the NPI (National Provider Identifier) Number 1710910237 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Providentia Llc?
The Providentia Llc is situated at 4112 S Peoria Ave, in the city of Tulsa, state of OK, with the zip code 741057613.
What is Providentia Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Providentia Llc is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.
On what date did the Providentia Llc receive its 1710910237 assignment from the Centers for Medicare & Medicaid Services?
The Providentia Llc was assigned its 1710910237 by the Centers for Medicare & Medicaid Services on 2006-07-08.
When was the Providentia Llc's information last updated?
The Providentia Llc's information was last updated on 2020-07-28.