| NPI | 1740214790 |
|---|---|
| Doing Business As | PROVISION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MITESH PATEL CEO 619-466-3246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 56091) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-03-04 |