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CHASTAINS INCORPORATED NPI 1245381094


NPI Information

NPI: 1245381094
Provider Name: CHASTAINS INCORPORATED

Doing Business As: OWL SOUTHWAY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
720 16TH AVE STE 1
LEWISTON, ID
ZIP 83501
Phone: (208) 743-5528
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CHASTAINS INCORPORATED is a community/retail pharmacy pharmacy in Lewiston, ID. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CHASTAINS INCORPORATED NPI is 1245381094. The provider is registered as an organization entity type.
The provider Is Doing Business As Owl Southway Pharmacy.

The provider's business location address is:

720 16TH AVE STE 1
LEWISTON, ID
ZIP 83501-768
Phone: (208) 743-5528
Fax: (208) 746-2785

The provider's authorized official is Brian Morgan Auer .
The authorized official title is Secretary and has the following contact phone number (208) 743-5528.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 4/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy778RPIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002248000MEDICAIDIDAHO
26009963MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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