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
3301 BERRYWOOD DR STE 101, COLUMBIA, MO 65201-6517
(573) 447-6720
(573) 447-6721
Mailing address
3301 BERRYWOOD DR STE 101, COLUMBIA, MO 65201-6517
(573) 447-6720
(573) 447-6721
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600117357
—
MO
Enumeration date
08/24/2022
Last updated
12/31/2025
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