# KDK, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ashland Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508863903
- **Authorized official:** CHRISTINA KAY GEERS RPH (PRES PIC)
- **Authorized official phone:** (573) 657-2600

## Contact information

- **Practice address:** 113 E BROADWAY, ASHLAND, MO 65010-9301
- **Practice address phone:** (573) 657-2600
- **Practice address fax:** (573) 657-2927
- **Mailing address:** PO BOX 348, 113 E BROADWAY, ASHLAND, MO 65010-0348
- **Mailing address phone:** (573) 657-2600
- **Mailing address fax:** (573) 657-2927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | MO PH005676 | MO | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 06/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2629218 | NCPDP \# | MO |
| 05 | — | 603177007 | — | MO |
| 05 | — | 623177003 | — | MO |