Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PROVISION PHARMACY, INC. -LTC
Active
Organization
PROVISION PHARMACY, INC. -LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN CHAN PHARM.D (CEO)
(808) 854-8999
Entity
Organization
Contact information
Practice address
4428 GLACIER AVE, SAN DIEGO, CA 92120-3304
(808) 854-8999
Mailing address
4428 GLACIER AVE, SAN DIEGO, CA 92120-3304
(808) 854-8999
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers