Individual
DR. LATEEF AJANI OLANIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2709 W BROADWAY AVENUE, SOUTHGATE PHARMACY, MOSES LAKE, WA 98837
(509) 765-9332
(509) 765-4761
Mailing address
2709 W BROADWAY AVENUE, MOSES LAKE, WA 98837
(509) 765-9332
(509) 765-4761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00016055
WA
Other
Enumeration date
02/19/2018
Last updated
07/21/2022
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