| Chc Pharmacy Atascadero | |
|
5575 Capistrano Ave Atascadero CA 93422-4264 | |
| (805) 792-1422 | |
| (805) 792-1488 |
| Full Name | Chc Pharmacy Atascadero |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 5575 Capistrano Ave, Atascadero, California |
| Authorized Official Name and Position | J Chris Mitsuoka (DIRECTOR OF PHARMACY) |
| Authorized Official Contact | 8052691326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chc Pharmacy Atascadero 150 Tejas Pl Nipomo CA 93444-9123 Ph: (805) 269-1326 | Chc Pharmacy Atascadero 5575 Capistrano Ave Atascadero CA 93422-4264 Ph: (805) 792-1422 |
| NPI Number | 1609865864 |
|---|---|
| Provider Enumeration Date | 10/19/2005 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609865864 | NPI | - | NPPES |
| PHA467970 | Medicaid | CA | |
| PHY46797 | Other | CA | PHARMACY LICENSE # |
| 5613612 | Other | CA | NCPDP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | PHY 46797 (California) | Primary |
San Luis Obispo County Drug And Alcohol Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4507 Del Rio Rd, Room 4, Principal Ofc, Counseling Ofc, Atascadero, CA 93422 Phone: 805-781-4753 Fax: 805-781-1227 | |
Community Health Centers Atascadero Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7512 Morro Rd, Atascadero, CA 93422 Phone: 805-792-1400 Fax: 805-792-1485 | |
Trinity Healthcare Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5855 Capistrano Ave, Suite D, Atascadero, CA 93422 Phone: 805-446-5600 Fax: 805-446-5601 | |
Cmg Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5920 West Mall, Atascadero, CA 93422 Phone: 805-466-0676 Fax: 805-466-8276 | |
Nationwide Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6500 Morro Rd Ste D, Atascadero, CA 93422 Phone: 805-461-5212 Fax: 805-461-5873 | |
County Of San Luis Obispo Drug And Alcohol Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3556 El Camino Real, Atascadero, CA 93422 Phone: 805-461-6080 Fax: 805-461-6114 | |
Commhlthcntrs,women's Health Atascadero Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 El Camino Real, Atascadero, CA 93422 Phone: 805-466-9001 |