Provider Demographics
NPI:1760040943
Name:NEIGHBORHOOD PHARMACY,LLC
Entity Type:Organization
Organization Name:NEIGHBORHOOD PHARMACY,LLC
Other - Org Name:NEIGHBORHOOD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:PARVANEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-640-4458
Mailing Address - Street 1:3149 BRUSH CREEK RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-1853
Mailing Address - Country:US
Mailing Address - Phone:405-640-4458
Mailing Address - Fax:
Practice Address - Street 1:3122 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-6942
Practice Address - Country:US
Practice Address - Phone:405-604-8010
Practice Address - Fax:405-604-8017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy