Southgate Pharmacy LLC
NPI #1427381136 in Moses Lake, Washington
Provider Information
- NPI Number
- 1427381136
- Entity Type
- Organization
- Organization Name
- Southgate Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 14, 2009
- Last Updated
- Oct 23, 2019
Practice Location
- Address
- 2709 W BROADWAY AVE
- City
- Moses Lake
- State
- Washington
- ZIP Code
- 98837-2904
- Phone
- (509) 765-9332
Authorized Official
- Name
- MR. LATEEF AJANI OLANIYAN, PHARM D
- Title
- OWNER/PHARMACIST
- Phone
- (509) 765-9332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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