Individual
DR. CHAD EMERSON STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
5735 EL CAMINO REAL, ATASCADERO, CA 93422-3350
(805) 460-9600
Mailing address
876 N 5TH ST, GROVER BEACH, CA 93433-1311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
84371
CA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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