Organization
GERDES PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY W GERDES (PRES)
(440) 593-2578
Entity
Organization
Contact information
Practice address
245 MAIN ST, CONNEAUT, OH 44030-2653
(440) 593-2578
Mailing address
245 MAIN ST, CONNEAUT, OH 44030-2653
(440) 593-2578
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023834
—
OH
Enumeration date
04/23/2007
Last updated
08/22/2020
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