# NEIGHBORHOOD LTC PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neighborhood LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194108688
- **Authorized official:** SCOTT LOUDERBACK (PRESIDENT)
- **Authorized official phone:** (402) 802-4871

## Contact information

- **Practice address:** 5115 S 111TH ST, OMAHA, NE 68137-2341
- **Practice address phone:** (402) 983-9600
- **Practice address fax:** (402) 983-9601
- **Mailing address:** 1265 S COTNER BLVD STE 30, LINCOLN, NE 68510-4924
- **Mailing address phone:** (402) 488-1184
- **Mailing address fax:** (402) 488-1187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 3063 | NE | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 4587 | IA | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/02/2015
- **Last updated:** 09/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026514000 | — | NE |
| 01 | — | 2152887 | PK | — |