K -Va -T Food Stores INC

NPI #1053338418 in Johnson City, Tennessee

Provider Information

NPI Number
1053338418
Entity Type
Organization
Organization Name
K -Va -T Food Stores INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 15, 2006
Last Updated
Mar 6, 2024

Practice Location

Address
2120 S ROAN ST
ZIP Code
37601-7675
Phone
(423) 979-0373

Authorized Official

Name
STEVEN C SMITH
Title
PRESIDENT & CEO
Phone
(276) 623-5100

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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