Freeland Brown Pharmacy No. 2
LBN: Providentia Llc
Freeland Brown Pharmacy No. 2 is an health care organization with primary practice located at 1507 W 51St St , Tulsa OK 74107-8041. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Providentia Llc can be contacted via phone (918) 446-1404, or through Dotson, Michael via phone (918) 688-9149.
Contact Information
Primary practice address
1507 W 51St St
Tulsa OK 74107-8041
Phone: (918) 446-1404
Fax: (918) 794-1610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2-6651 | Oklahoma |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1700965472 |
|---|---|
| LBN Legal business name | Providentia Llc |
| DBA Doing business as | Freeland Brown Pharmacy No. 2 |
| Authorized official | Dotson, Michael BS PHARMACY |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Nov 8th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700965472 | NPPES |
| Oklahoma | MEDICAID | 100235670G | |
| Oklahoma | Other | 2144892 |
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