Chas Latah Retail Pharmacy

LBN: Community Health Assoc
Chas Latah Retail Pharmacy is an health care organization with primary practice located at 803 S Main St Ste 120 , Moscow ID 83843-2695. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Community Health Assoc can be contacted via phone (509) 444-8888, or through Wilson, Aaron via phone (509) 444-8888.

Contact Information

Primary practice address
803 S Main St Ste 120 Moscow ID 83843-2695
Phone: (509) 444-8888
Fax: (509) 232-0666
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Aaron
Phone: (509) 444-8888

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1396387916
LBN Legal business name Community Health Assoc
DBA Doing business as Chas Latah Retail Pharmacy
Authorized official Wilson, Aaron
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 15th, 2019
Last updated Aug 21st, 2020 - about 5 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 1396387916 NPPES
Idaho MEDICAID 2073987

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