Provider Demographics
NPI:1326768722
Name:MY NEIGHBOR'S CHARITABLE PHARMACY
Entity Type:Organization
Organization Name:MY NEIGHBOR'S CHARITABLE PHARMACY
Other - Org Name:NEIGHBOR'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR AND PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:IRVIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:417-213-9400
Mailing Address - Street 1:610 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-2843
Mailing Address - Country:US
Mailing Address - Phone:417-336-9355
Mailing Address - Fax:417-334-4427
Practice Address - Street 1:1232 BRANSON HILLS PKWY STE 102
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-4189
Practice Address - Country:US
Practice Address - Phone:417-213-9400
Practice Address - Fax:417-213-9410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy