Organization
SERVICE DRUG, INC
Active
Other names
Petersen Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DREW PETERSEN (MANAGER)
(308) 432-2400
Entity
Organization
Contact information
Practice address
104 E 6TH ST, ALLIANCE, NE 69301-3412
(308) 762-2877
(308) 762-2877
Mailing address
302 MAIN ST, CHADRON, NE 69337-2395
(308) 432-2400
(308) 432-4449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/28/2010
Last updated
08/03/2010
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