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Southgate Pharmacy Llc
Long Term Care Pharmacy in Moses Lake, Washington
NPI 1427381136

Southgate Pharmacy Llc is a Long Term Care Pharmacy based in Moses Lake, WA and is specialized in Long Term Care Pharmacy. Southgate Pharmacy Llc practices in Moses Lake, WA. The NPI Number for Southgate Pharmacy Llc is 1427381136 and holds a License No. (Washington).

The current practice location address for Southgate Pharmacy Llc is 2709 W Broadway Ave, Moses Lake, WA and can be reached out via phone at 509-765-9332 and via fax at 509-765-4761.

Location: 2709 W Broadway Ave, Moses Lake, WA, 98837-2904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427381136
Provider Name
Southgate Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
2709 W Broadway Ave, Moses Lake, WA, 98837-2904
Phone Number
509-765-9332
Fax Number
509-765-4761
Provider Enumeration Date
09/14/2009
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2122066 01 PK
6032577 05 WA
institution
Provider Business Practice Location Address Details
Address
2709 W Broadway Ave
City
Moses Lake
State
Washington
Zip
98837-2904
Phone Number
509-765-9332
Fax Number
509-765-4761
person
Provider Business Mailing Address Details
Address
2709 W Broadway Ave
City
Moses Lake
State
Washington
Zip
98837-2904
Phone Number
509-765-9332
Fax Number
509-765-4761
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHAR.CF.60118893 (Washington)
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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