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 (COO)
(402) 488-1184
Entity
Organization
Contact information
Practice address
2525 NW SOUTH OUTER RD STE D, BLUE SPRINGS, MO 64015-1726
(402) 802-4874
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
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201092580A
—
OK
05
—
30004636200002
—
KS
05
—
600091856
—
MO
Enumeration date
09/02/2020
Last updated
12/23/2024
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