OrganizationActive
Ponca Tribe of Nebraska
NPI 1356673040 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Omaha, NE
Provider details
- NPI number
- 1356673040
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dennis Schufeldt, Cheif Pharmacist(402) 734-5275
Specialties & taxonomies
Suppliers
Practice location
2602 J St
Omaha, NE 68107-1643
Phone: (402) 734-5275
Fax: (402) 734-5708
Approximate (ZIP-level) locationGet directions
Mailing address
2602 J St
Omaha, NE 68107-1643
Other names (DBA / former)
- Doing business as
- Fred Leroy Health and Wellness Center
Registry dates
- Enumerated
- 2010-02-04
- Last updated
- 2010-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.