County Market Pharmacy 375
LBN: Niemann Foods Inc
County Market Pharmacy 375 is an health care organization with primary practice located at 1208 S Main St , Palmyra MO 63461-1901. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Niemann Foods Inc can be contacted via phone (573) 769-0343, or through Niemann, Christopher via phone (217) 221-5612.
Contact Information
Primary practice address
1208 S Main St
Palmyra MO 63461-1901
Phone: (573) 769-0343
Fax: (573) 769-0344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2011002754 | Missouri |
Profile Details
| NPI number | 1164728762 |
|---|---|
| LBN Legal business name | Niemann Foods Inc |
| DBA Doing business as | County Market Pharmacy 375 |
| Authorized official | Niemann, Christopher |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2011 |
| Last updated | Sep 27th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164728762 | NPPES |
| Missouri | MEDICAID | 606505907 | |
| Missouri | Other | 2127638 |
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