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Organization
70TH & O NEIGHBORHOOD PHARMACY INC
Active
Organization
70TH & O NEIGHBORHOOD PHARMACY INC
Active
Other names
Neighborhood LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LOUDERBACK (PRESIDENT)
(402) 464-1150
Entity
Organization
Contact information
Practice address
6811 O ST STE B, LINCOLN, NE 68510-2422
(402) 488-1184
(402) 488-1187
Mailing address
5625 O ST, SUITE 101, LINCOLN, NE 68510-2196
(402) 488-1184
(402) 488-1187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
2908
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130809
PK
—
Enumeration date
06/27/2011
Last updated
07/29/2014
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