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 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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