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Organization
NIEMANN FOODS INC
Active
Organization
NIEMANN FOODS INC
Active
Other names
County Market Pharmacy 224
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR AWERKAMP (DIRECTOR OF PHARMACY)
(217) 221-5615
Entity
Organization
Contact information
Practice address
1099 JASON PL, CHATHAM, IL 62629-2018
(217) 483-2496
(217) 483-5772
Mailing address
PO BOX C847, QUINCY, IL 62306-0847
(217) 221-5641
(217) 221-5929
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054.019852
IL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157302
PK
—
Enumeration date
07/14/2006
Last updated
09/27/2021
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