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NPI Code Detail

MEDICARE: GERDES PHARMACY INC

MEDICARE: GERDES PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical SuppliesOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093933301
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERDES PHARMACY INC
Provider Business Mailing Address
First Line : 245 MAIN ST
Second Line :
City : CONNEAUT
State : OH
Zip : 44030-2653
Country : US
Telephone Number : 440-593-2578
Fax Number :
Provider Business Practice Location Address
First Line : 245 MAIN ST
Second Line :
City : CONNEAUT
State : OH
Zip : 44030-2653
Country : US
Telephone Number : 440-593-2578
Fax Number :
Authorized Official
Title or Position : PRES
Name : KERRY W GERDES
Credential :
Telephone Number : 440-593-2578
Provider Enumeration Date : 04/23/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1265525810 — GERDES PHARMACY INC
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax:
1518214014 — DR. ALEXIS RHODES PHARM. D., RPH.
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax: 440-593-6049
1770709313 — KERRY W GERDES RPH
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax:
1316164957 — MR. DAVID GEORGE TURNER BSPH
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax: 440-593-6049
1518184001 — TICEY M CZUP RPH
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax:
1760921464 — KIMBERLY HALL
Practice Location Address:
245 MAIN ST
CONNEAUT, OH
44030-2653
Practice Phone: 440-593-2578
Practice Fax:

Directions to “GERDES PHARMACY INC ” Practice Location

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