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Contact Information

BENTON SOUTHGATE PHARMACY INC
471 WINE COUNTRY ROAD
PROSSER, WA99350
 Phone: 509-781-6520
 Fax: 509-781-6523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BENTON SOUTHGATE PHARMACY INC

NPI Number 1306469580
LBN Legal business name BENTON SOUTHGATE PHARMACY INC
Authorized official LATEEF OLANIYAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2020
Last updated 07/14/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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