| NPI | 1801489323 |
|---|---|
| Doing Business As | PROVISION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MITESH PATEL President 619-269-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |