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Organization
PONCA TRIBE OF NEBRASKA
Active
Organization
PONCA TRIBE OF NEBRASKA
Active
Other names
FRED LEROY HEALTH AND WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS M SCHUFELDT PHARM.D. (CHEIF PHARMACIST)
(402) 734-5275
Entity
Organization
Contact information
Practice address
2602 J ST, OMAHA, NE 68107-1643
(402) 734-5275
(402) 734-5708
Mailing address
2602 J ST, OMAHA, NE 68107-1643
(402) 734-5275
(402) 734-5708
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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