# K-VA-T FOOD STORES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Food City Pharmacy \#230
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306214630
- **Authorized official:** MR. STEVEN C. SMITH (CHAIRMAN, PRESIDENT, CEO)
- **Authorized official phone:** (276) 623-5100

## Contact information

- **Practice address:** 502 GI MADDOX PARKWAY, CHATSWORTH, GA 30705
- **Practice address phone:** (706) 695-0424
- **Practice address fax:** (706) 695-0423
- **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:** 09/03/2015
- **Last updated:** 04/05/2017