Niemann Foods Inc
Organization Active NPI Community/Retail Pharmacy · Bowling Green, MO
NPI 1366424491 · NPPES record last updated Sep 27, 2021
Key facts
- NPI
- 1366424491
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2014014138 (MO)
- Legal business name
- NIEMANN FOODS INC
- Practice address
- 1106 S Business Highway 61
Bowling Green, MO 63334-5233 - Phone
- (573) 324-3383
- Fax
- (573) 324-6388
- NPI assigned
- Nov 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Christopher Niemann
- Title
- Evp / Cfo
- Phone
- (217) 221-5615
Practitioners 1
National Provider Directory
Locations
1106 S Business Highway 61
Bowling Green, MO 63334
Phone (573) 324-3383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2014014138 | MO | Yes |
Addresses
Primary practice location
1106 S Business Highway 61
Bowling Green, MO 63334-5233
Mailing address
PO Box C847
Quincy, IL 62306-0847
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600121420 | Medicaid | MO | |
| 2145211 | Other | PK |
Other names
- County Market Pharmacy 397
Other providers in Bowling Green, MO
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- Michele Nacke
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All providers in Bowling Green, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.