Michael Gustavo Peterson
Pharmacy · Gothenburg, NE
Practice location
718 4TH StGothenburg, NE 69138-2347
- Phone
- (308) 537-2048
- Fax
- (308) 537-2231
NPI record
- NPI
- 1134790090
- Entity type
- Individual (Type 1)
- Enumeration date
- July 1, 2021
- Last updated
- July 7, 2021
- Certified
- July 7, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
805 | NE |
About Michael Peterson
Michael Gustavo Peterson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 718 4TH St, Gothenburg, NE 69138-2347. The NPI number 1134790090 was assigned on July 1, 2021 and the record was last updated on July 7, 2021.
Michael Peterson lists a license in the registry: #805 (NE) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Michael Gustavo Peterson?
The NPI number is 1134790090.
What is the phone number of Michael Peterson?
The phone number listed for the practice location is (308) 537-2048.
Where is Michael Peterson located?
718 4TH St, Gothenburg, NE 69138-2347.
What is the taxonomy code for Michael Peterson?
The primary taxonomy code is 333600000X – Pharmacy.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pharmacy providers in Gothenburg
- Peterson's Supermarket, Inc718 4TH St