Organization
NIEDERMANN PHARMACY INC
Active
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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