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Organization
PETERSON'S SUPERMARKET, INC
Active
Organization
PETERSON'S SUPERMARKET, INC
Active
Other names
Fresh Seasons Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PETERSON (MANAGER OF SUPERMARKET)
(308) 537-2048
Entity
Organization
Contact information
Practice address
718 4TH ST, GOTHENBURG, NE 69138-2347
(308) 537-2048
Mailing address
718 4TH ST, GOTHENBURG, NE 69138-2347
(308) 537-2048
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/15/2021
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