# GERDES PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265525810
- **Authorized official:** KERRY W GERDES RPH (OWNER)
- **Authorized official phone:** (440) 593-2578

## Contact information

- **Practice address:** 245 MAIN ST, CONNEAUT, OH 44030-2653
- **Practice address phone:** (440) 593-2578
- **Mailing address:** 245 MAIN ST, CONNEAUT, OH 44030-2653
- **Mailing address phone:** (440) 593-2578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 020487700 | OH | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 06/04/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0023834 | — | OH |
| 01 | — | 3604584 | NCPDP PROVIDER NUMBER | — |
