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Organization

CHASTAINS INC

Active
Other names
Owl Southway 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
720 16TH AVE STE 1, LEWISTON, ID 83501-3768
(208) 743-5528
(208) 746-2785
Mailing address
720 16TH AVE STE 1, LEWISTON, ID 83501-3768
(208) 743-5528
(208) 746-2785

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
778RP
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002248000
ID
05
6009963
WA
Enumeration date
01/16/2007
Last updated
01/26/2026
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