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“Pharmacy” (Gothenburg, NE)

Location: Gothenburg, NE
Taxonomy: Pharmacy.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1134790090 — MICHAEL GUSTAVO PETERSON
Practice Location Address:
718 4TH ST
GOTHENBURG NE
69138-2347
Practice Phone: 308-537-2048
1194495051 — PETERSON'S SUPERMARKET, INC
Practice Location Address:
718 4TH ST
GOTHENBURG NE
69138-2347
Practice Phone: 308-537-2048
1215108758 — SHOPKO STORES OPERATING CO LLC
Practice Location Address:
718 4TH STREET
GOTHENBURG NE
69138
Practice Phone: 308-537-8780

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