# COMMUNITY HEATLH CENTERS OF THE CENTRAL COAST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHC Pharmacy Atascadero
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609865864
- **Authorized official:** DR. J CHRIS MITSUOKA PHARM.D. (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (805) 269-1326

## Contact information

- **Practice address:** 5575 CAPISTRANO AVE, ATASCADERO, CA 93422-4264
- **Practice address phone:** (805) 792-1422
- **Practice address fax:** (805) 792-1488
- **Mailing address:** 150 TEJAS PL, NIPOMO, CA 93444-9123
- **Mailing address phone:** (805) 269-1326
- **Mailing address fax:** (805) 269-1388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | PHY 46797 | CA | Yes |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 03/07/2023