Owl Southway Pharmacy

LBN: Chastains Incorporated
Owl Southway Pharmacy is an health care organization with primary practice located at 720 16Th Ave Ste 1 , Lewiston ID 83501-3768. 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 (208) 743-5528, or through Auer, Brian Morgan via phone (208) 743-5528.

Contact Information

Primary practice address
720 16Th Ave Ste 1 Lewiston ID 83501-3768
Phone: (208) 743-5528
Fax: (208) 746-2785
Website:
Map and Directions
Authorized official contact:
Name: Auer, Brian Morgan RPH
Phone: (208) 743-5528

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 778RP Idaho

Profile Details

NPI number 1245381094
LBN Legal business name Chastains Incorporated
DBA Doing business as Owl Southway Pharmacy
Authorized official Auer, Brian Morgan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Apr 29th, 2019 - about 7 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 1245381094 NPPES
Washington MEDICAID 6009963
Washington MEDICAID 002248000

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