Organization
K-VAT FOOD STORES, INC
Active
Other names
Food City Pharmacy #745
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN C SMITH (PRESIDENT & CEO)
(276) 623-5100
Entity
Organization
Contact information
Practice address
125 WHITEWATER DRIVE, OCOEE, TN 37361
(423) 216-0050
(423) 299-9599
Mailing address
PO BOX 1158, ATTN: CONNIE REED, ABINGDON, VA 24212-1158
(276) 623-5100
(276) 623-5440
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00005532
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150719
PK
—
05
—
Q036789
—
TN
Enumeration date
03/13/2015
Last updated
10/21/2024
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