# NEIGHBORHOOD LTC PHARMACY INC.

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

## Provider details

- **NPI number:** 1619668258
- **Authorized official:** MARISSA MCMAHON PHARMD (COO)
- **Authorized official phone:** (402) 488-1184

## Contact information

- **Practice address:** 10711 JUSTIN DR, URBANDALE, IA 50322-3720
- **Practice address phone:** (515) 989-8301
- **Practice address fax:** (515) 989-8302
- **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 | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2023
- **Last updated:** 09/17/2024