Niemann Foods Inc

Organization Active NPI Community/Retail Pharmacy · Vandalia, MO

NPI 1447397948 · NPPES record last updated Sep 27, 2021

Key facts

NPI
1447397948
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
2013038172 (MO)
Legal business name
NIEMANN FOODS INC
Practice address
1555 W US Highway 54
Vandalia, MO 63382-1158
Phone
(573) 594-2136
Fax
(573) 594-2744
NPI assigned
Jan 31, 2007
Organization subpart
No

Authorized official

Name
Christopher Niemann
Title
Evp / Cfo
Phone
(217) 221-5615

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1555 W US Highway 54
Vandalia, MO 63382
Phone (573) 594-2136

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2013038172 MO Yes

Addresses

Primary practice location

1555 W US Highway 54
Vandalia, MO 63382-1158

Mailing address

PO Box C847
Quincy, IL 62306-0847
Phone (217) 221-5641

Other identifiers

IdentifierTypeStateIssuer
2141913OtherPK
600280309MedicaidMO

Other names

  • County Market Pharmacy 392 Doing business as

Other providers in Vandalia, MO

All providers in Vandalia, MO · Community/Retail Pharmacy in Missouri

Sources for this page

Verify at the official NPI Registry.