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Organization
DON PETERSON DRUG CO
Active
Organization
DON PETERSON DRUG CO
Active
Other names
Sater Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CONG DANG RPH (OWNER)
(417) 847-2315
Entity
Organization
Contact information
Practice address
705 MAIN ST, CASSVILLE, MO 65625-1421
(417) 847-2315
(417) 847-5258
Mailing address
705 MAIN ST, CASSVILLE, MO 65625-1421
(417) 847-2315
(417) 847-5258
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
200300001338
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200300001338
MO LIC
MO
05
—
600094205
—
MO
05
—
620094201
—
MO
Enumeration date
06/16/2005
Last updated
08/30/2015
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