Organization
HUNT SILVER LAKE DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP HOMMERDING (OWNER)
(507) 289-3901
Entity
Organization
Contact information
Practice address
1512 BROADWAY AVE N, ROCHESTER, MN 55906
(507) 288-3831
(507) 252-1731
Mailing address
1512 N BROADWAY, ROCHESTER, MN 55906-4146
(507) 288-3831
(507) 252-1731
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
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
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2407749
NCPDP #
—
01
—
265766
LICENSE
MN
05
—
610023600
—
MN
Enumeration date
09/21/2005
Last updated
02/24/2026
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