Dr. Chad Emerson Stout, Pharm D
Pharmacist in Atascadero, CA. Individual provider (NPI-1).
NPI number1649059643
StatusActive
Last updated in NPPESSep 27, 2023
Details
- NPI
- 1649059643
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chad Emerson Stout
- Credential
- Pharm D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2023
- Certification date
- Sep 27, 2023
- Last updated
- Sep 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 84371 | CA | Yes |
Practice location
5735 El Camino RealAtascadero, CA 93422-3350
Phone 805-460-9600
Mailing address
876 N 5th StGrover Beach, CA 93433-1311
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