<Unavail>
LBN: Providence Rx Inc
<Unavail> is an health care organization with primary practice located at 7302 S Yale Ave Ste 101 , Tulsa OK 74136-7032. The organization recently has 3 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Providence Rx Inc can be contacted via phone (918) 392-3366, or through Owens, Lisa Aileen via phone (918) 808-6228.
Contact Information
Primary practice address
7302 S Yale Ave Ste 101
Tulsa OK 74136-7032
Phone: (918) 392-3366
Fax: (918) 392-2950
Website:
Authorized official contact:
Name: Owens, Lisa Aileen Doctor of Public Health (DPH)
Phone: (918) 808-6228
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1225518079 |
|---|---|
| LBN Legal business name | Providence Rx Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Owens, Lisa Aileen Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2018 |
| Last updated | Mar 4th, 2022 - about 4 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 | 1225518079 | NPPES |
| Oklahoma | MEDICAID | 200785950A |
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