# NIEMANN FOODS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** County Market Pharmacy 518
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437409851
- **Authorized official:** CHRISTOPHER NIEMANN (EVP / CFO)
- **Authorized official phone:** (217) 221-5615

## Contact information

- **Practice address:** 2901 W KIRBY AVE, CHAMPAIGN, IL 61821-5301
- **Practice address phone:** (217) 351-3108
- **Practice address fax:** (217) 351-3128
- **Mailing address:** PO BOX C847, QUINCY, IL 62306-0847
- **Mailing address phone:** (217) 221-5615
- **Mailing address fax:** (217) 221-5915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054-018082 | IL | Yes |

## Other

- **Enumeration date:** 09/13/2012
- **Last updated:** 09/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2136914 | PK | — |