# K MART PHARMACY

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

## Provider details

- **NPI number:** 1518321504
- **Authorized official:** RICKIE DUNN RPH (PHARMACIST)
- **Authorized official phone:** (859) 312-8913

## Contact information

- **Practice address:** 552 CULPEPPER RD, LEXINGTON, KY 40502-2414
- **Practice address phone:** (859) 312-8913
- **Mailing address:** 552 CULPEPPER RD, LEXINGTON, KY 40502-2414
- **Mailing address phone:** (859) 312-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 015375 | KY | Yes |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/06/2016
- **Last updated:** 04/06/2016