Provision Pharmacy, Inc. -ltc
Long Term Care Pharmacy
4428 Glacier Ave, San Diego
California, 92120-3304
808-854-8999 Provision Pharmacy, Inc. -ltc is a Long Term Care Pharmacy in San Diego, California. It is located at 4428 Glacier Ave, San Diego and it's customer support contact number is 808-854-8999. The authorized person of Provision Pharmacy, Inc. -ltc is Dr. Alan Chan, PHARM.D who is Ceo of the pharmacy and his contact number is 808-854-8999.
Provision Pharmacy, Inc. -ltc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Provision Pharmacy, Inc. -ltc 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, Inc. -ltc |
| Type: | Long Term Care Pharmacy |
| Location: | 4428 Glacier Ave, San Diego,
California, 92120-3304 |
| Phone: | 808-854-8999 |
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: | Dr. Alan Chan |
| Credentials: | PHARM.D |
| Position: | Ceo |
| Contact Number: | 808-854-8999 |
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: | 1962366195 |
| NPI Enumeration Date: | 11 Dec, 2025 |
| NPI Last Update On: | 11 Dec, 2025 |
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, Inc. -ltc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4428 Glacier Ave,
San Diego, California |
| Zip: | 92120-3304 |
| Phone Number: | 808-854-8999 |
Patients can reach Provision Pharmacy, Inc. -ltc at
4428 Glacier Ave, San Diego, California or can
call on customer care at 808-854-8999.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.