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NPI Code Detail

MEDICARE: PHILIP HOMMERDING PHARMD

MEDICARE: PHILIP HOMMERDING PHARMD
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
1183500000XPharmacist118269MN

General Provider Information

NPI Number : 1558652503
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP HOMMERDING PHARMD
Provider Business Mailing 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
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2011
Last Update Date : 07/21/2022

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Directions to “ PHILIP HOMMERDING PHARMD” Practice Location

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