PROVISION PHARMACY, INC. -LTC

NPI: 1962366195 · Organization · Active

Primary Specialty

Long Term Care Pharmacy
Pharmacy — Long Term Care Pharmacy

Practice Location

4428 GLACIER AVE
SAN DIEGO, CA 92120-3304 Map ↗
Phone: 808-854-8999

All Specialties & Licenses

  • Long Term Care Pharmacy Primary — Long Term Care Pharmacy

NPI Registration

Enumerated: 2025-12-11

Last CMS Update: 2025-12-11