NPI 1760778385
Ponca Tribe of Nebraska
Practice location
- Address
- 2602 J St Fred Leroy Health and Wellness Center Pharmacy, Omaha, NE 68107-1643
- Phone
- (402) 734-5275
- Fax
- (402) 733-3487
Authorised official
- Name
- Donald Lee
- Title
- Chief Executive Officer
- Phone
- (402) 734-5275
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1760778385
- Entity type
- Organization
- NPI issued
- 22 Jun 2011
- Record last updated
- 22 Jun 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.