Organization
NIEMANN FOODS INC
Active
Other names
County Market Pharmacy 224
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR AWERKAMP (DIRECTOR OF PHARMACY)
(217) 221-5615
Entity
Organization
Contact information
Practice address
1099 JASON PL, CHATHAM, IL 62629-2018
(217) 483-2496
(217) 483-5772
Mailing address
PO BOX C847, QUINCY, IL 62306-0847
(217) 221-5641
(217) 221-5929
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.019852
IL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157302
PK
—
Enumeration date
07/14/2006
Last updated
09/27/2021
Update your record
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