| NPI | 1912883539 |
|---|---|
| Doing Business As | PROVISION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAYYAN M KHATIB Owner 732-647-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2026-03-19 |