Organization
K -VA -T FOOD STORES INC
Active
Other names
Food City Pharmacy #858
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE ANN REED (ADMINISTRATIVE ASSISTANT)
(276) 623-5100
Entity
Organization
Contact information
Practice address
1701 TYLER AVENUE, RADFORD, VA 24141
(276) 623-5100
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
12/05/2019
Last updated
12/05/2019
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