Provision Pharmacy is not a DME supplier for medicare equipments and products.
Provision Pharmacy is a Community/Retail Pharmacy in San Diego, California. This pharmacy is owned and operated by Mactor, Inc.. It is located at 4428 Glacier Ave, San Diego and it's customer support contact number is 619-466-3246. The authorized person of Provision Pharmacy is Mitesh Patel, PHARM D who is Ceo of the pharmacy and his contact number is 619-466-3246. Active license number of Provision Pharmacy is 56091 for Community/Retail Pharmacy in California. Provision Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Provision Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Provision Pharmacy
Type:
Community/Retail Pharmacy
Location:
4428 Glacier Ave, San Diego, California, 92120-3304
Phone:
619-466-3246
Fax:
619-466-4134
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mitesh Patel
Credentials:
PHARM D
Position:
Ceo
Contact Number:
619-466-3246
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1740214790
NPI Enumeration Date:
10 Jul, 2006
NPI Last Update On:
04 Mar, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Provision Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
56091
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PHA466130
Medicaid
California
0534342
Other
Ncpdp
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11676 Treadwell Dr, Poway, California
Zip:
92064
Phone Number:
619-466-3246
Fax Number:
619-466-4134
Patients can reach Provision Pharmacy at 4428 Glacier Ave, San Diego, California or can call on customer care at 619-466-3246.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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