PROVIDENTIA LLC

Community/Retail Pharmacy

NPI: 1700965472Organization

Specialties, Licenses & Credentials

Pharmacy

Code: 333600000X

Long Term Care Pharmacy

Pharmacy — Long Term Care Pharmacy

Code: 3336L0003X

Community/Retail PharmacyPrimary

Pharmacy — Community/Retail Pharmacy

Code: 3336C0003X

2-6651(OK)

Contact & Hours

Address: 1507 W 51ST ST
TULSA, OK 74107
Phone: (918) 446-1404

Quick Facts

NPI: 1700965472
Entity Type: Organization
Medicare: Not confirmed
Specialties: 3
Locations: 1

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