Provider Demographics
NPI:1922850536
Name:NIEMANN FOODS INC
Entity Type:Organization
Organization Name:NIEMANN FOODS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:AWERKAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-221-5615
Mailing Address - Street 1:1501 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-1996
Mailing Address - Country:US
Mailing Address - Phone:217-221-5615
Mailing Address - Fax:217-221-5615
Practice Address - Street 1:2140 E 116TH ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3213
Practice Address - Country:US
Practice Address - Phone:317-249-8572
Practice Address - Fax:317-663-1023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy