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Organization

KD WHEATLEY LLC

Active
Other names
HURST DISCOUNT DRUG
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY WHEATLEY RPH (OWNER)
(502) 348-9261
Entity
Organization

Contact information

Practice address
102 N 3RD ST, BARDSTOWN, KY 40004-1526
(502) 348-9261
(502) 348-3334
Mailing address
102 N 3RD ST, BARDSTOWN, KY 40004
(502) 348-9261
(502) 348-3334

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
P06950
KY
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2028540
PK
05
7100198170
KY
05
7100199730
KY
Enumeration date
09/12/2006
Last updated
09/19/2025
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