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NPI Code Detail

MEDICARE: HUNT SILVER LAKE DRUG INC

MEDICARE: HUNT SILVER LAKE DRUG 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 Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy2609496MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22407751OTHEROTHER ID NUMBER

General Provider Information

NPI Number : 1447246921
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUNT SILVER LAKE DRUG INC
Provider Business Mailing Address
First Line : 1510 N BROADWAY
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-4146
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1510 N BROADWAY
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-4146
Country : US
Telephone Number : 507-289-3901
Fax Number : 507-529-8353
Authorized Official
Title or Position : OWNER
Name : PHILIP HOMMERDING
Credential : PHARM D
Telephone Number : 507-289-3901
Provider Enumeration Date : 09/21/2005
Last Update Date : 08/18/2025

Similar Medicare Providers

1780823799 — MR. JAMES JOSEPH STAGE PHARM. D.
Practice Location Address:
1518 N BROADWAY
ROCHESTER, MN
55906-4146
Practice Phone: 507-289-3901
Practice Fax: 507-289-2934
1558652503 — PHILIP HOMMERDING PHARMD
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55906-4146
Practice Phone: 507-289-3901
Practice Fax: 507-529-8353
1104263185 — MS. SARAH JEAN MERBACH R. PH.
Practice Location Address:
1510 N BROADWAY
ROCHESTER, MN
55906-4146
Practice Phone: 507-289-3901
Practice Fax: 507-289-2934
1104348846 — SARAH JANE TAYLOR RATZLOFF PHARMD
Practice Location Address:
1510 N BROADWAY
ROCHESTER, MN
55906-4146
Practice Phone: 507-289-3901
Practice Fax:
1659937753 — MR. STEPHEN LANNON RPH
Practice Location Address:
1510 N BROADWAY
ROCHESTER, MN
55906-4146
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Practice Fax: 507-289-2934
1497615256 — RHEBEKKAH WESTRE
Practice Location Address:
1510 N BROADWAY
ROCHESTER, MN
55906-4146
Practice Phone: 507-289-3901
Practice Fax:

Directions to “HUNT SILVER LAKE DRUG INC ” Practice Location

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