# K VA T FOOD STORES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Food City Pharmacy \#505
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154127165
- **Authorized official:** MR. STEVEN C SMITH (PRESIDENT AND CEO)
- **Authorized official phone:** (276) 623-5100

## Contact information

- **Practice address:** 150 OLD GURLEY ROAD NE, HUNTSVILLE, AL 35811
- **Practice address phone:** (256) 361-2115
- **Practice address fax:** (256) 361-2116
- **Mailing address:** PO BOX 1158, ABINGDON, VA 24212-1158
- **Mailing address phone:** (276) 623-5100
- **Mailing address fax:** (276) 623-5440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2025
- **Last updated:** 02/20/2025