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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