K Va T Food Stores INC
NPI #1316964778 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1316964778
- Entity Type
- Organization
- Organization Name
- K Va T Food Stores INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 15, 2006
- Last Updated
- Sep 25, 2007
Practice Location
- Address
- 920 BROAD ST
- Address 2
- VILLAGE SHOPPING CTR
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2315
- Phone
- (423) 542-4925
Authorized Official
- Name
- STEVEN C SMITH
- Title
- PRESIDENT & CEO
- Phone
- (276) 623-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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