K Va T Food Stores INC
NPI #1114241254 in Lafollette, Tennessee
Provider Information
- NPI Number
- 1114241254
- Entity Type
- Organization
- Organization Name
- K Va T Food Stores INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 18, 2010
- Last Updated
- Feb 7, 2012
Practice Location
- Address
- 2221 JACKSBORO PIKE
- Address 2
- SUITE B1
- City
- Lafollette
- State
- Tennessee
- ZIP Code
- 37766-3006
- Phone
- (423) 566-2033
Authorized Official
- Name
- MR. STEVEN C SMITH
- Title
- CHAIRMAN PRESIDENT CEO
- Phone
- (276) 623-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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