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Michael Gustavo Peterson
Pharmacy in Gothenburg, Nebraska
NPI 1134790090

Michael Gustavo Peterson is a Pharmacy based in Gothenburg, NE. Michael Gustavo Peterson practices in Gothenburg, NE. The NPI Number for Michael Gustavo Peterson is 1134790090 and holds a License No. 805 (Nebraska).

The current practice location address for Michael Gustavo Peterson is 718 4Th St, Gothenburg, NE and can be reached out via phone at 308-537-2048 and via fax at 308-537-2231.

Location: 718 4Th St, Gothenburg, NE, 69138-2347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134790090
Provider Name
Michael Gustavo Peterson
Credential
Provider Entity Type
Individual
Gender
Male
Address
718 4Th St, Gothenburg, NE, 69138-2347
Phone Number
308-537-2048
Fax Number
308-537-2231
Provider Enumeration Date
07/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
718 4Th St
City
Gothenburg
State
Nebraska
Zip
69138-2347
Phone Number
308-537-2048
Fax Number
308-537-2231
person
Provider Business Mailing Address Details
Address
718 4Th St
City
Gothenburg
State
Nebraska
Zip
69138-2347
Phone Number
308-537-2048
Fax Number
308-537-2231
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
805 (Nebraska)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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