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BENTON SOUTHGATE PHARMACY, INC.

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Company Details

Legal Name: BENTON SOUTHGATE PHARMACY, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 6th 2020
Date of Dissolution: October 3rd 2023
Expiration date: 31 May 2023
UBI Number: 604 608 371
ZIP code: 99350
City: Prosser
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 471 WINE COUNTRY RD, PROSSER, WA, 99350-9555, UNITED STATES

Contact Details

E-Mail: LATEEF@SOUTHGATERX.COM

Nature of Business

Any Lawful Purpose, PHARMACY

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Registered Agent Information

Name Role Address
CHRIS NEWHOUSE Registered Agent 528 W BROADWAY AVE, MOSES LAKE, WA, 98837-1926, UNITED STATES

Key Officers & Management

Name Role Address
LATEEF OLANIYAN Governing Person -
LATEEF OLANIYAN Incorporator 471 WINE COUNTRY RD, PROSSER, WA, 99350-9555, UNITED STATES

National Provider Identifier

NPI Number:
1306469580
Certification Date:
2021-07-14

Authorized Person:

Name:
DR. LATEEF AJANI OLANIYAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
5097654761
Fax:
5097816523
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