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General NPI Number Information
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NPI Number | 1275521528
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Entity Type | Organization
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Legal Business Name | DENNIS L. HUNT PHARMACY INC
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 328 E MAIN ST
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City | OMRO
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State | WI
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Zip | 54963-1420
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Country | US
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Telephone | 920-685-5041
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Fax | 920-685-0313
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Provider Business Mailing Address
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Address Line | 328 E MAIN ST
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City | OMRO
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State | WI
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Zip | 54963-1420
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Country | US
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Telephone | 920-685-5041
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Fax | 920-685-0313
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KENNETH ALLEN BRESSERS
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Credential | R.PH.
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Telephone | 920-685-5041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 8049
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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