| NPI | 1013260561 |
|---|---|
| Other Name | PONCA HILLS HEALTH AND WELLNESS CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONALD LEE Chief Executive Officer 402-734-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |