Organization
K -VA -T FOOD STORES INC
Active
Other names
Food City Pharmacy #252
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN C SMITH (PRESIDENT & CEO)
(276) 623-5100
Entity
Organization
Contact information
Practice address
311 NORTH MAIN STREET, LAFAYETTE, GA 30728
(706) 638-8611
(706) 638-3157
Mailing address
PO 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
04/17/2019
Last updated
12/19/2019
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