Prosser Southgate Pharmacy INC
NPI #1700417854 in Prosser, Washington
Provider Information
- NPI Number
- 1700417854
- Entity Type
- Organization
- Organization Name
- Prosser Southgate Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 28, 2020
- Last Updated
- Jan 28, 2020
Practice Location
- Address
- 207 CANYON DRIVE
- City
- Prosser
- State
- Washington
- ZIP Code
- 99350-1009
- Phone
- (509) 750-8319
Authorized Official
- Name
- LATEEF A. OLANIYAN, RPH, PHARMD
- Title
- PRESIDENT
- Phone
- (509) 750-8319
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