| NPI | 1861706715 |
|---|---|
| Doing Business As | PETERSEN DRUG |
| Entity Type | Organization |
| Authorized Contact | DREW PETERSEN Manager 308-432-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |