K-Va-T Food Stores, Inc.
NPI #1497818074 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1497818074
- Entity Type
- Organization
- Organization Name
- K-Va-T Food Stores, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Sep 23, 2023
Practice Location
- Address
- 1507 ODELL AVE
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-2604
- Phone
- (865) 471-0366
Authorized Official
- Name
- MR. STEVEN C SMITH
- Title
- 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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