Most Relevant Information
Provider Data
| NPI Number: | 1003396060 |
| Provider Name: | PENNY JEAN GEHRS NERDERMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 03120595 |
Most Important Dates
| Enumeration Date: | 08/20/2018 |
| Last Updated: | 01/29/2021 |
Provider Practice Location
75 W CENTRAL AVE
CAMDEN
OH
453111007
Practice Location Phone/Fax
| Phone: | 5135713681 |
| Fax: | 9374523957 |
Provider Mailing Location
6286 WOODWIND CT
MIDDLETOWN
OH
450448864
Provider Mailing Phone/Fax
| Phone: | 5135713681 |
| Fax: |