Provider Demographics
NPI:1194878223
Name:GIERUS INC
Entity type:Organization
Organization Name:GIERUS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:COVELLI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:800-788-6572
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:STRUTHERS
Mailing Address - State:OH
Mailing Address - Zip Code:44471-0068
Mailing Address - Country:US
Mailing Address - Phone:800-788-6572
Mailing Address - Fax:330-750-6275
Practice Address - Street 1:982 5TH ST
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-1527
Practice Address - Country:US
Practice Address - Phone:800-788-6572
Practice Address - Fax:330-750-6275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1439812OtherSTATE INC. CHARTER #