Providentia Llc is not a DME supplier for medicare equipments and products.
Providentia Llc is a Community/Retail Pharmacy in Tulsa, Oklahoma. It is located at 4227 Southwest Blvd, Crystal City Shopping Center, Tulsa and it's customer support contact number is 918-986-8644. The authorized person of Providentia Llc is Andrew Aaron Kohler who is Principal of the pharmacy and his contact number is 918-743-4491. Active license number of Providentia Llc is PD07681 for Community/Retail Pharmacy in Arkansas. Providentia Llc is 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Providentia Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Providentia Llc
Type:
Community/Retail Pharmacy
Location:
4227 Southwest Blvd, Crystal City Shopping Center, Tulsa, Oklahoma, 74107-6522
Phone:
918-986-8644
Fax:
918-986-8655
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Andrew Aaron Kohler
Position:
Principal
Contact Number:
918-743-4491
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1295101632
NPI Enumeration Date:
20 Aug, 2015
NPI Last Update On:
28 Jul, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providentia Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PD07681
Arkansas
Primary
Durable Medical Equipment & Medical Supplies
2-7324
Oklahoma
Secondary
Pharmacy
Secondary
Long Term Care Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100232760 F
Medicaid
Oklahoma
2153603
Other
Pk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4112 S Peoria Ave, Tulsa, Oklahoma
Zip:
74105-7613
Phone Number:
918-743-4491
Fax Number:
918-743-5432
Patients can reach Providentia Llc at 4227 Southwest Blvd, Crystal City Shopping Center, Tulsa, Oklahoma or can call on customer care at 918-986-8644.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.
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