Organization
K VA T FOOD STORES INC
Active
Other names
Food City Pharmacy #505
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN C SMITH (PRESIDENT AND CEO)
(276) 623-5100
Entity
Organization
Contact information
Practice address
150 OLD GURLEY ROAD NE, HUNTSVILLE, AL 35811
(256) 361-2115
(256) 361-2116
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
02/20/2025
Last updated
02/20/2025
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