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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