Southgate Pharmacy LLC
Southgate Pharmacy LLC is a Pharmacy in Moses Lake, Washington. Licensed in Washington. Registered with an NPI since 2009.
- Licensed in
- WA
- In the registry since
- 2009
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2709 W Broadway AveMoses Lake, WA 98837-2904
Phone: (509) 765-9332
Fax: (509) 765-4761
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHAR.CF.60118893 (WA) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Long Term Care Pharmacy | Taxonomy 3336L0003X |
Record details
| NPI number | 1427381136 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lateef Olaniyan — Owner/Pharmacist · (509) 765-9332 |
| Other names | Southgate Pharmacy; Southgate Pharmacy |
| NPI enumerated | September 14, 2009 |
| Last updated in NPPES | October 23, 2019 |
| Mailing address | 2709 W Broadway Ave, Moses Lake, WA 98837-2904 |
Other providers in Moses Lake
-
D & R Thomas Incorp
1550 S Pioneer Way Ste 105, Moses Lake, WA 98837-4637 · (509) 765-8891
-
Laketown Pharmacy PLLC
1550 S Pioneer Way Ste 105, Moses Lake, WA 98837-4637 · (509) 765-8891