DR. Lateef Ajani Olaniyan

NPI #1316447097 in Moses Lake, Washington

Provider Information

NPI Number: 1316447097
Entity Type: Individual
Name: DR. Lateef Ajani Olaniyan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 19, 2018
Last Updated: Jul 21, 2022

Practice Location

Address: 2709 W BROADWAY AVENUE
Address 2: SOUTHGATE PHARMACY
City: Moses Lake
State: Washington
ZIP Code: 98837
Phone: (509) 765-9332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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