Ponca Tribe of Nebraska
Ponca Tribe of Nebraska is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2011.
- Licensed in
- NE
- In the registry since
- 2011
Practice location Address checks out
2602 J St Fred Leroy Health And Wellness Center PharmacyOmaha, NE 68107-1643
Phone: (402) 734-5275
Fax: (402) 733-3487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) | Taxonomy 332800000X · Licence 2884 (NE) |
|---|
Record details
| NPI number | 1760778385 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ponca Tribe of Nebraska |
| Authorized official | Donald Lee — Chief Executive Officer · (402) 734-5275 |
| Other names | Fred Leroy Health And Wellness Center Pharmacy |
| NPI enumerated | June 22, 2011 |
| Last updated in NPPES | June 22, 2011 |
| Mailing address | 2602 J St, Fred Leroy Health And Wellness Center Pharmacy, Omaha, NE 68107-1643 |
Other providers in Omaha
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Ponca Tribe of Nebraska
2602 J St, Omaha, NE 68107-1643 · (402) 734-5275