| NPI | 1356673040 |
|---|---|
| Doing Business As | FRED LEROY HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DENNIS M SCHUFELDT Cheif Pharmacist 402-734-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |