PROVIDENTIA LLC

TULSA, OK
NPI1295101632
Doing Business AsFREELAND BROWN PHARMACY NO. 3
Entity TypeOrganization
Authorized ContactANDREW AARON KOHLER
Principal
918-743-4491
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy Community/Retail Pharmacy
(Licence: AR  PD07681)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
(Licence: OK  2-7324)
333600000X Pharmacy
3336L0003X Pharmacy Long Term Care Pharmacy
Enumeration Date2015-08-20
Last Update Date2020-07-28
Business Address
PROVIDENTIA LLC
4227 SOUTHWEST BLVD CRYSTAL CITY SHOPPING CENTER
TULSA, OK 74107-6522
Phone number: 918-986-8644
Mailing Address
PROVIDENTIA LLC
4112 S PEORIA AVE
TULSA, OK 74105-7613
Phone number: 918-743-4491