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General NPI Number Information
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NPI Number | 1164573762
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Entity Type | Organization
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Legal Business Name | CHASTAINS INC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 1275 HIGHLAND AVE
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City | CLARKSTON
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State | WA
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Zip | 99403-2846
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Country | US
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Telephone | 509-758-5533
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Fax | 509-751-9545
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Provider Business Mailing Address
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Address Line | 1275 HIGHLAND AVE
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City | CLARKSTON
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State | WA
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Zip | 99403-2846
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Country | US
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Telephone | 509-758-5533
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Fax | 509-751-9545
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN MORGAN AUER
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Credential | PHARMACIST
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Telephone | 208-743-5528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHAR.CF.00001133
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License Number State | WA
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