Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mactor, Inc

Organization Long Term Care Pharmacy · NPI 1801489323

Mactor, Inc is a Long Term Care Pharmacy in San Diego, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4428 Glacier Ave
San Diego, CA 92120-3304
Phone: (916) 993-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1801489323
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitesh Patel — President · (619) 269-6600
Other names Provision Pharmacy
NPI enumeratedFebruary 16, 2021
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021
Mailing address4428 Glacier Ave, San Diego, CA 92120-3304

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