# CHULAVISTA PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chulavista Pharmacy LLC LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992687909
- **Authorized official:** ELVIS ATENCIO PHARMD (PHARMACIST/PARTNER)
- **Authorized official phone:** (619) 781-8177

## Contact information

- **Practice address:** 384 H ST STE 100, CHULA VISTA, CA 91910-5513
- **Practice address phone:** (619) 781-8177
- **Mailing address:** 384 H ST STE 100, CHULA VISTA, CA 91910-5513
- **Mailing address phone:** (619) 781-8177
- **Mailing address fax:** (619) 623-3435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2025
- **Last updated:** 07/22/2025