Organization
NIEDERMANN PHARMACY INC
Active
Other names
Blaris Ferry Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG NIEDERMANN PHARMD (PRESIDENT)
(319) 393-4944
Entity
Organization
Contact information
Practice address
1790 BLAIRS FERRY RD, HIAWATHA, IA 52233-2033
(319) 393-4944
(319) 393-6655
Mailing address
1790 BLAIRS FERRY RD, HIAWATHA, IA 52233-2033
(319) 393-4944
(319) 438-1094
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1492
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143902
PK
—
Enumeration date
01/13/2006
Last updated
12/12/2023
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