PROVIDENTIA LLC

TULSA, OK
NPI1700965472
Doing Business AsFREELAND BROWN PHARMACY NO. 2
Entity TypeOrganization
Authorized ContactMICHAEL DOTSON
Owner
918-688-9149
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: OK  2-6651)
Additional Taxonomies333600000X Pharmacy
3336L0003X Pharmacy, Long Term Care Pharmacy
Enumeration Date2006-11-03
Last Update Date2016-11-08
Business Address
PROVIDENTIA LLC
1507 W 51ST ST
TULSA, OK 74107-8041
Phone number: 918-446-1404
Mailing Address
PROVIDENTIA LLC
4112 S PEORIA AVE
TULSA, OK 74105-7613
Phone number: 918-743-4491