PROVISION PHARMACY, INC. -LTC

SAN DIEGO, CA
NPI1962366195
Entity TypeOrganization
Authorized ContactALAN CHAN
CEO
808-854-8999
Organization Subpart ?No
Primary Taxonomy3336L0003X Pharmacy, Long Term Care Pharmacy
Enumeration Date2025-12-11
Last Update Date2025-12-11
Business Address
PROVISION PHARMACY, INC. -LTC
4428 GLACIER AVE
SAN DIEGO, CA 92120-3304
Phone number: 808-854-8999
Mailing Address
PROVISION PHARMACY, INC. -LTC
4428 GLACIER AVE
SAN DIEGO, CA 92120-3304
Phone number: 808-854-8999
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