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Organization
NIEMANN FOODS INC
Active
Organization
NIEMANN FOODS INC
Active
Other names
COUNTY MARKET PHARMACY 026
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER NIEMANN (EVP CFO)
(217) 221-5612
Entity
Organization
Contact information
Practice address
825 W WASHINGTON ST, PITTSFIELD, IL 62363-1372
(217) 285-5515
(217) 285-1326
Mailing address
PO BOX C847, QUINCY, IL 62306-0847
(217) 221-5641
(217) 221-5915
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054016065
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1438200
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/04/2007
Last updated
09/27/2021
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