AMENDMENT NO. 2
                                     TO THE
                              EMPLOYMENT AGREEMENT
                                 BY AND BETWEEN
                       NEIGHBORCARE, INC. (THE "COMPANY")
                                       AND
                          JOHN L. KORDASH ("EXECUTIVE")

     WHEREAS, Executive is currently employed by the Company;

     WHEREAS, the terms of Executive's employment are currently governed by

that certain amended and restated employment agreement, amended and restated as

of December 9, 2003, and amended as of June 22, 2004 (the "Employment

Agreement"); and

     WHEREAS, Executive would have Good Reason pursuant to the terms of the

Employment Agreement to terminate his employment with the Company upon a Change

of Control that results in the Company becoming a subsidiary of another entity

and no longer publicly traded; and

     WHEREAS, in the event of a Change of Control, it is likely to be in the

interest of the Company for Executive to be obligated to continue his employment

with the Company for a period of at least ninety days following such Change of

Control, to assist with transition and for other reasons; and

     WHEREAS, the Company and Executive wish to amend the terms of the

Employment Agreement effective as of a Change in Control of the Company (as

currently defined in Section 1.04 of the NeighborCare, Inc. Severance Pay Plan),

on the terms and conditions set forth herein;

     NOW, THEREFORE, in consideration of the mutual agreements hereinafter set

forth, the parties hereby agree as follows:

     1.   Section 4(d) of the Employment Agreement is hereby amended by adding

the following paragraph at the end thereof: "Notwithstanding the foregoing,

Executive agrees not to



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exercise Executive's right to resign for Good Reason pursuant to Section 4(d)(i)

hereof until the end of the ninety (90) day period commencing on the effective

date of a Change of Control, so long as Executive continues to be employed in

the same position and title at the Company with substantially similar

responsibilities and duties during such ninety-day period (taking into account

that the Company may be a subsidiary and no longer publicly traded following

such Change of Control)."

     2.   Section 8(b) of the Employment Agreement is hereby amended by adding

the following paragraph at the end thereof:

               Notwithstanding the foregoing, the provisions of Sections 8(b)(i)
               and 8(b)(iii) shall only prohibit Executive from competition
               with, and solicitation or service of, customers of the Company's
               LTC Pharmacy Services (as defined below) business as of
               immediately prior to a Change of Control and shall have no other
               effect; provided that the restriction on competition shall not
               apply to any association by the Executive with entities for which
               LTC Pharmacy Services comprises 25% or less of such entity's
               total business; and further provided that the restriction on
               solicitation or service of customers, directly or indirectly,
               shall apply only to Facilities (as defined below) served by the
               Company as of July 6, 2005 or served by the Company during the
               12-month period immediately preceding the effective date of a
               Change of Control. Notwithstanding the foregoing, during the
               90-day period following the effective date of a Change of
               Control, Executive shall be prohibited from soliciting or
               serving, directly or indirectly, Facilities that have been
               solicited by the Company during the 90-day period prior to the
               effective date of such Change of Control.

     "LTC Pharmacy Services" means: The provision of pharmaceutical products,
     including, without limitation, prescription and non-prescription drugs;
     biological products and infusion therapies; all related pharmacy services,
     including, without limitation, consultant pharmacist services, medical
     records, formulary management services and group purchasing and enteral
     nutrition products to nursing homes, assisted living facilities,
     independent living facilities, supportive living facilities, long-term
     acute care hospitals, facilities for the developmentally disabled,
     retirement communities, continuing care retirement communities, and other
     institutional and long-term care settings (collectively, "Facilities") and
     to

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     residents of such Facilities; provided that the provision of biological
     products, infusion therapies and enteral nutrition products (and related
     services) to Facilities other than nursing facilities, assisted living
     facilities, hospices and long-term acute care hospitals shall be permitted.

     3.   Except as provided in this Amendment No. 2, the terms and conditions

of the Employment Agreement shall remain unchanged.

     4.   This Amendment No. 2 shall be of no further force or effect if a

Change in Control of the Company does not occur on or prior to December 31,

2005.



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     IN WITNESS WHEREOF, the parties hereto have executed this Amendment as

of the date first set forth above.


/s/ John L. Kordash                  NeighborCare, Inc.
  ----------------------
    John L. Kordash

                                     By: /s/ Kathlenn F. Ayres
                                        ---------------------------------------
July 12, 2005                        Name:   Kathleen F. Ayres
                                     Title:  Senior Vice President, Human
                                             Resources


                                     July 12, 2005