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

Provision Pharmacy, Inc

Organization Community/Retail Pharmacy · NPI 1417811647

Provision Pharmacy, Inc is a Community/Retail Pharmacy in San Diego, California. Registered with an NPI since 2025.

In the registry since
2025
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: (808) 854-8999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1417811647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Chan — Ceo · (808) 854-8999
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address4428 Glacier Ave, San Diego, CA 92120-3304

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