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Organization

CHASTAINS INC

Active
Other names
Owl Tri-State Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN MORGAN AUER PHARMACIST (OWNER)
(208) 743-5528
Entity
Organization

Contact information

Practice address
1275 HIGHLAND AVE, CLARKSTON, WA 99403-2846
(509) 758-5533
(509) 751-9545
Mailing address
1275 HIGHLAND AVE, CLARKSTON, WA 99403-2846
(509) 758-5533
(509) 751-9545

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.00001133
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6173801
WA
05
8058599
ID
Enumeration date
01/12/2007
Last updated
01/26/2026
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