| NPI | 1760778385 |
|---|---|
| Doing Business As | FRED LEROY HEALTH AND WELLNESS CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DONALD LEE Chief Executive Officer 402-734-5275 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: NE 2884) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |