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Organization

K -VA -T FOOD STORES INC

Active
Other names
Food City Pharmacy #850
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN C SMITH (PRESIDENT & CEO)
(276) 623-5100
Entity
Organization

Contact information

Practice address
155 W LEE HWY, WYTHEVILLE, VA 24382
(276) 239-6132
(276) 335-2107
Mailing address
PO BOX 1158, ABINGDON, VA 24212-1158
(276) 623-5100
(276) 623-5440

Taxonomy

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

Other

Enumeration date
03/23/2021
Last updated
06/11/2021
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