| NPI | 1558473496 |
|---|---|
| Doing Business As | COUNTY MARKET PHARMACY 227 |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NIEMANN CFO 217-221-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054016034) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-09-27 |