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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