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An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
332800000X | 87 | All Other Suppliers |
| NPI Number | 1275103103 |
| LBN Legal business name | PONCA TRIBE OF NEBRASKA |
| Authorized official | REBECCA CRASE - (DIRECTOR OF BUSINESS SERVICES) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/01/2021 |
| Last updated | 07/01/2021 - About 5 years ago |
| Identifiers | n/a |
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PONCA TRIBE OF NEBRASKA
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PONCA TRIBE OF NEBRASKA