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Organization

NEIGHBORHOOD LTC PHARMACY INC.

Active
Other names
Neighborhood LTC Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT LOUDERBACK (PRESIDENT)
(402) 802-4871
Entity
Organization

Contact information

Practice address
5115 S 111TH ST, OMAHA, NE 68137-2341
(402) 983-9600
(402) 983-9601
Mailing address
1265 S COTNER BLVD STE 30, LINCOLN, NE 68510-4924
(402) 488-1184
(402) 488-1187

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3063
NE
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
4587
IA
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026514000
NE
01
2152887
PK
Enumeration date
07/02/2015
Last updated
09/17/2024
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