PONCA TRIBE OF NEBRASKA is an indian health service tribal urban indian health i t u pharmacy in Omaha, NE. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. PONCA TRIBE OF NEBRASKA NPI is 1356673040. The provider is registered as an organization entity type.
The provider Is Doing Business As Fred Leroy Health And Wellness Center.
The provider's business location address is:
2602 J ST
OMAHA, NE
ZIP 68107-643
Phone: (402) 734-5275
Fax: (402) 734-5708
The provider's authorized official is Dennis M Schufeldt .
The authorized official title is Cheif Pharmacist and has the following contact phone number (402) 734-5275.
The enumeration date for this NPI number is 2/4/2010 and was last updated on 2/4/2010.