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
3705 W MEMORIAL RD STE 506, OKLAHOMA CITY, OK 73134-1506
(405) 479-8098
(402) 479-8099
Mailing address
1265 S COTNER BLVD STE 30, LINCOLN, NE 68510-4924
(402) 488-1184
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
—
201092580B
—
OK
Enumeration date
02/09/2023
Last updated
09/17/2024
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