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PROSSER SOUTHGATE PHARMACY INC
NPI 1700417854
Pharmacy - Community/Retail Pharmacy in Prosser, WA

Active since January 28, 2020
207 CANYON DRIVE, PROSSER, WA 99350(509) 750-8319(509) 765-4761 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prosser Southgate Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSSER SOUTHGATE PHARMACY INC (NPI 1700417854), doing business as Prosser Southgate Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Prosser, Washington and active in the NPI registry since January 2020. The organization lists Lateef A. Olaniyan, President, as its authorized official.

NPPES Registry Identity

NPI1700417854
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROSSER SOUTHGATE PHARMACY INC
Location Address207 CANYON DRIVEProsser, WA 99350-1009
Mailing Address2709 W. Broadway AvenueMoses Lake, WA 98837 · (509) 750-8319 · Fax (509) 765-4761
Phone(509) 750-8319
Fax(509) 765-4761
Organization SubpartNo
Authorized OfficialLateef A. OlaniyanPresident · (509) 750-8319
Enumeration DateJanuary 28, 2020
✔ NPI 1700417854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
207 CANYON DRIVE, Prosser, WA 99350
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Other Names 1

Doing Business AsProsser Southgate Pharmacy

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prosser Southgate Pharmacy Inc's NPI number?

The NPI number for Prosser Southgate Pharmacy Inc is 1700417854. It was assigned to this organization in the NPPES registry on January 28, 2020. The provider is doing business as Prosser Southgate Pharmacy.

Where is Prosser Southgate Pharmacy Inc located?

Prosser Southgate Pharmacy Inc is located at 207 Canyon Drive, Prosser, WA 99350. The listed phone number is (509) 750-8319.

What is Prosser Southgate Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Prosser Southgate Pharmacy Inc was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.