Organization
70TH & O NEIGHBORHOOD PHARMACY INC
Active
Organization
70TH & O NEIGHBORHOOD PHARMACY INC
Active
Other names
LINCOLN NEIGHBORHOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LOUDERBACK (PRESIDENT)
(402) 488-1184
Entity
Organization
Contact information
Practice address
6811 O ST, LINCOLN, NE 68510-2422
(402) 488-1184
(402) 188-1187
Mailing address
5625 O ST, LINCOLN, NE 68510-2196
(402) 488-1184
(402) 488-1187
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2744
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025424100
—
NE
01
—
2055903
PK
—
Enumeration date
05/11/2006
Last updated
06/27/2014
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