# NIEMANN FOODS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** County Market Pharmacy 458
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841558012
- **Authorized official:** CHRISTOPHER NIEMANN (EVP/CFO)
- **Authorized official phone:** (217) 221-5615

## Contact information

- **Practice address:** 518 S MAIN ST, LEWISTOWN, IL 61542-1565
- **Practice address phone:** (309) 547-3731
- **Practice address fax:** (309) 547-2040
- **Mailing address:** PO BOX 847, QUINCY, IL 62306-0847
- **Mailing address phone:** (217) 221-5615
- **Mailing address fax:** (217) 221-5915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054017962 | IL | Yes |

## Other

- **Enumeration date:** 04/25/2012
- **Last updated:** 11/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2134858 | PK | — |