Organization
K -VA -T FOOD STORES INC
Active
Other names
Food City Pharmacy #651
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN C SMITH (CHAIRMAN PRESIDENT & CEO)
(276) 623-5100
Entity
Organization
Contact information
Practice address
1715 W BROADWAY AVE, MARYVILLE, TN 37801-5509
(865) 273-9117
(865) 738-9003
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
12/19/2019
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