Benton Southgate Pharmacy INC
NPI #1306469580 in Prosser, Washington
Provider Information
- NPI Number
- 1306469580
- Entity Type
- Organization
- Organization Name
- Benton Southgate Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 22, 2020
- Last Updated
- Jul 14, 2021
Practice Location
- Address
- 471 WINE COUNTRY ROAD
- City
- Prosser
- State
- Washington
- ZIP Code
- 99350
- Phone
- (509) 781-6520
Authorized Official
- Name
- DR. LATEEF AJANI OLANIYAN, PHARM. D
- Title
- PRESIDENT
- Phone
- (509) 750-8319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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