# NEIGHBORHOOD PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEIGHBORHOOD PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447582796
- **Authorized official:** ERNEST RIEDL B.S. (PHARMACIST IN CHARGE)
- **Authorized official phone:** (708) 389-5300

## Contact information

- **Practice address:** 11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
- **Practice address phone:** (708) 389-5300
- **Practice address fax:** (708) 389-5309
- **Mailing address:** 11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
- **Mailing address phone:** (708) 389-5300
- **Mailing address fax:** (708) 389-5309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054016764 | IL | Yes |

## Other

- **Enumeration date:** 02/10/2010
- **Last updated:** 04/06/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1484118 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |