MEDICARE: DENNIS L. HUNT 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
1	183500000X	Pharmacist	8049	WI
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5101578	OTHER	WI	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275521528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENNIS L. HUNT PHARMACY INC

Provider Business Mailing Address
First Line	:	328 E MAIN ST
Second Line	:
City	:	OMRO
State	:	WI
Zip	:	54963-1420
Country	:	US
Telephone Number	:	920-685-5041
Fax Number	:	920-685-0313

Provider Business Practice Location Address
First Line	:	328 E MAIN ST
Second Line	:
City	:	OMRO
State	:	WI
Zip	:	54963-1420
Country	:	US
Telephone Number	:	920-685-5041
Fax Number	:	920-685-0313

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KENNETH ALLEN BRESSERS
Credential	:	R.PH.
Telephone Number	:	920-685-5041

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	10/15/2025

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