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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENTIA LLC

Active Organization

PROVIDENTIA LLC is a Long-Term Care Pharmacy organization located in TULSA, Oklahoma. NPI 1295101632 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · TULSA, OK

Registration Details

NPI Number
1295101632
Provider Type
Organization
NPI Issued
Aug 20, 2015 (10.964756406549 yrs)
Last Updated
Jul 28, 2020
Licenses
2-7324 (OK)
PD07681 (AR)

Practice Information

Address
4227 SOUTHWEST BLVD
CRYSTAL CITY SHOPPING CENTER
TULSA, OK, 741076522
Browse OK providers · Browse ZIP 74107
Phone
9189868644
Fax
9189868655
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Pharmacy
Additional Specialty
Retail Pharmacy
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in TULSA, OK

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.