Organization
GERDES PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY W GERDES RPH (OWNER)
(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
3336C0003X
Community/Retail Pharmacy
Primary
020487700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023834
—
OH
01
—
3604584
NCPDP PROVIDER NUMBER
—
Enumeration date
10/02/2006
Last updated
11/19/2015
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