Michael Gustavo Peterson
Michael Gustavo Peterson is a Pharmacy in Gothenburg, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.
- Licensed in
- NE
- In the registry since
- 2021
Practice location Address checks out
718 4th StGothenburg, NE 69138-2347
Phone: (308) 537-2048
Fax: (308) 537-2231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy (primary) | Taxonomy 333600000X · Licence 805 (NE) |
|---|
Record details
| NPI number | 1134790090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 1, 2021 |
| Last updated in NPPES | July 7, 2021 |
| Certification date | July 7, 2021 |
Other providers in Gothenburg
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Peterson's Supermarket, Inc
718 4th St, Gothenburg, NE 69138-2347 · (308) 537-2048