Organization
K -VA -T FOOD STORES INC
Active
Other names
Food City Pharmacy #625
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN C SMITH (PRESIDENT & CEO)
(276) 623-5100
Entity
Organization
Contact information
Practice address
110 N. INDUSTRIAL DRIVE, ERWIN, TN 37650
(423) 220-1051
(423) 220-4231
Mailing address
P.O. BOX 1158, ATTN: CONNIE A. REED, 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
04/18/2019
Last updated
12/19/2019
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