K Va T Food Stores INC

NPI #1588681068 in Harriman, Tennessee

Provider Information

NPI Number
1588681068
Entity Type
Organization
Organization Name
K Va T Food Stores INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 17, 2006
Last Updated
Oct 27, 2007

Practice Location

Address
1130 S ROANE STREET
Address 2
HWY. 27
ZIP Code
37748
Phone
(865) 882-0117

Authorized Official

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

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