| NPI | 1275103103 |
|---|---|
| Doing Business As | PONCA HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | REBECCA L CRASE Director Of Business Services 402-315-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |