institution
Ponca Tribe Of Nebraska
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Omaha, Nebraska
NPI 1760778385

Ponca Tribe Of Nebraska is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Omaha, NE. Ponca Tribe Of Nebraska practices in Omaha, NE. The NPI Number for Ponca Tribe Of Nebraska is 1760778385 and holds a License No. 2884 (Nebraska).

The current practice location address for Ponca Tribe Of Nebraska is 2602 J St, Omaha, NE and can be reached out via phone at 402-734-5275 and via fax at 402-733-3487.

Location: 2602 J St, Omaha, NE, 68107-1643
institution
Provider Profile Details
NPI Number
1760778385
Provider Name
Ponca Tribe Of Nebraska
Credential
Provider Entity Type
Organization
Address
2602 J St, Omaha, NE, 68107-1643
Phone Number
402-734-5275
Fax Number
402-733-3487
Provider Enumeration Date
06/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2884 01 NE PHARMACY LICENSE NUMBER
2817964 01 NCPDP
institution
Provider Business Practice Location Address Details
Address
2602 J St
City
State
Zip
68107-1643
Phone Number
402-734-5275
Fax Number
402-733-3487
person
Provider Business Mailing Address Details
Address
2602 J St
City
State
Zip
68107-1643
Phone Number
402-734-5275
Fax Number
402-733-3487
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
License No.
2884 (Nebraska)
Definition
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.
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