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Organization
NEIGHBORHOOD LTC PHARMACY INC.
Active
Organization
NEIGHBORHOOD LTC PHARMACY INC.
Active
Other names
Neighborhood LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LOUDERBACK (PRESIDENT)
(402) 802-4871
Entity
Organization
Contact information
Practice address
5115 S 111TH ST, OMAHA, NE 68137-2341
(402) 983-9600
(402) 983-9601
Mailing address
1265 S COTNER BLVD STE 30, LINCOLN, NE 68510-4924
(402) 488-1184
(402) 488-1187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3063
NE
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
4587
IA
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026514000
—
NE
01
—
2152887
PK
—
Enumeration date
07/02/2015
Last updated
09/17/2024
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