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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