Organization
HUNT SILVER LAKE DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP HOMMERDING PHARM D (OWNER)
(507) 289-3901
Entity
Organization
Contact information
Practice address
1510 N BROADWAY, ROCHESTER, MN 55906-4146
(507) 289-3901
(507) 529-8353
Mailing address
1510 N BROADWAY, ROCHESTER, MN 55906-4146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2609496
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2407751
OTHER ID NUMBER
—
05
—
649560500
—
MN
Enumeration date
09/21/2005
Last updated
08/18/2025
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