# HUNT SILVER LAKE DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700872280
- **Authorized official:** PHILIP HOMMERDING (OWNER)
- **Authorized official phone:** (507) 289-3901

## Contact information

- **Practice address:** 1512 BROADWAY AVE N, ROCHESTER, MN 55906
- **Practice address phone:** (507) 288-3831
- **Practice address fax:** (507) 252-1731
- **Mailing address:** 1512 N BROADWAY, ROCHESTER, MN 55906-4146
- **Mailing address phone:** (507) 288-3831
- **Mailing address fax:** (507) 252-1731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 264484 | MN | — |
| 3336L0003X | Long Term Care Pharmacy | 264485 | MN | — |
| 3336L0003X | Long Term Care Pharmacy | 265449 | MN | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2005
- **Last updated:** 02/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2407749 | NCPDP \# | — |
| 01 | — | 265766 | LICENSE | MN |
| 05 | — | 610023600 | — | MN |