Organization
COMMUNITY HEATLH CENTERS OF THE CENTRAL COAST
Active
Other names
CHC Pharmacy Atascadero
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J CHRIS MITSUOKA PHARM.D. (DIRECTOR OF PHARMACY)
(805) 269-1326
Entity
Organization
Contact information
Practice address
5575 CAPISTRANO AVE, ATASCADERO, CA 93422-4264
(805) 792-1422
(805) 792-1488
Mailing address
150 TEJAS PL, NIPOMO, CA 93444-9123
(805) 269-1326
(805) 269-1388
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
PHY 46797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5613612
NCPDP NUMBER
CA
05
—
PHA467970
—
CA
01
—
PHY46797
PHARMACY LICENSE #
CA
Enumeration date
10/19/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us