# NIEMANN FOODS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** County Market Pharmacy 212
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821369224
- **Authorized official:** CHRISTOPHER NIEMANN (EVP / CFO)
- **Authorized official phone:** (217) 221-5615

## Contact information

- **Practice address:** 520 W CLINTON ST, RUSHVILLE, IL 62681-1246
- **Practice address phone:** (217) 322-3383
- **Practice address fax:** (217) 322-6033
- **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 | 054017868 | IL | Yes |

## Other

- **Enumeration date:** 01/18/2012
- **Last updated:** 09/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1486390 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |