# NEIGHBORHOOD LTC PHARMACY INC.

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

## Provider details

- **NPI number:** 1689371759
- **Authorized official:** MARISSA MCMAHON PHARMD (COO)
- **Authorized official phone:** (402) 488-1184

## Contact information

- **Practice address:** 3705 W MEMORIAL RD STE 506, OKLAHOMA CITY, OK 73134-1506
- **Practice address phone:** (405) 479-8098
- **Practice address fax:** (402) 479-8099
- **Mailing address:** 1265 S COTNER BLVD STE 30, LINCOLN, NE 68510-4924
- **Mailing address phone:** (402) 488-1184

## 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:** 02/09/2023
- **Last updated:** 09/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201092580B | — | OK |
