# DON PETERSON DRUG CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sater Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831194703
- **Authorized official:** MR. CONG DANG RPH (OWNER)
- **Authorized official phone:** (417) 847-2315

## Contact information

- **Practice address:** 705 MAIN ST, CASSVILLE, MO 65625-1421
- **Practice address phone:** (417) 847-2315
- **Practice address fax:** (417) 847-5258
- **Mailing address:** 705 MAIN ST, CASSVILLE, MO 65625-1421
- **Mailing address phone:** (417) 847-2315
- **Mailing address fax:** (417) 847-5258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 200300001338 | MO | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 08/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 200300001338 | MO LIC | MO |
| 05 | — | 600094205 | — | MO |
| 05 | — | 620094201 | — | MO |