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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
MARISSA MCMAHON PHARMD (COO)
(402) 488-1184
Entity
Organization
Contact information
Practice address
3705 W MEMORIAL RD STE 506, OKLAHOMA CITY, OK 73134-1506
(405) 479-8098
(402) 479-8099
Mailing address
1265 S COTNER BLVD STE 30, LINCOLN, NE 68510-4924
(402) 488-1184
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201092580B
—
OK
Enumeration date
02/09/2023
Last updated
09/17/2024
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