Provider Demographics
NPI:1528342805
Name:HUNT, DENNIS P (RPH)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:P
Last Name:HUNT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5429 REGALWAY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-1551
Mailing Address - Country:US
Mailing Address - Phone:314-845-0979
Mailing Address - Fax:
Practice Address - Street 1:11590 GRAVOIS RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-3612
Practice Address - Country:US
Practice Address - Phone:314-849-6348
Practice Address - Fax:314-849-6261
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO029106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist