# NIEDERMANN PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NIEDERMANN PHARMACY, INC.
- **Other names:** Nied's Pharmacy LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174358675
- **Legal business name:** NIEDERMANN PHARMACY, INC.
- **Authorized official:** DOUG NIEDERMANN PHARMD (PRESIDENT)
- **Authorized official phone:** (319) 393-4944

## Contact information

- **Practice address:** 211 W MAIN ST, MARSHALLTOWN, IA 50158-5845
- **Practice address phone:** (641) 758-3350
- **Practice address fax:** (641) 758-3351
- **Mailing address:** 1790 BLAIRS FERRY RD, HIAWATHA, IA 52233-2033
- **Mailing address phone:** (319) 393-4944
- **Mailing address fax:** (319) 393-4944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2024
- **Last updated:** 09/04/2024