Owl Tri-State Pharmacy

LBN: Chastains Incorporated
Owl Tri-State Pharmacy is an health care organization with primary practice located at 1275 Highland Ave , Clarkston WA 99403-2846. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Chastains Incorporated can be contacted via phone (509) 758-5533, or through Auer, Brian Morgan via phone (509) 758-5533.

Contact Information

Primary practice address
1275 Highland Ave Clarkston WA 99403-2846
Phone: (509) 758-5533
Fax: (509) 751-9545
Website:
Map and Directions
Authorized official contact:
Name: Auer, Brian Morgan RPH
Phone: (509) 758-5533

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR.CF.00001133 Washington

Profile Details

NPI number 1164573762
LBN Legal business name Chastains Incorporated
DBA Doing business as Owl Tri-State Pharmacy
Authorized official Auer, Brian Morgan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Sep 11th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164573762 NPPES
Idaho MEDICAID 8058599
Idaho MEDICAID 6173801

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