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Contact Information

K-VAT FOOD STORES, INC
125 WHITEWATER DRIVE
OCOEE, TN37361
 Phone: 423-216-0050
 Fax: 423-299-9599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for K-VAT FOOD STORES, INC

NPI Number 1114310224
LBN Legal business name K-VAT FOOD STORES, INC
Authorized official STEVEN SMITH - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2015
Last updated 10/21/2024 - More than a year ago
Identifiers
TN License # 00005532
TN Medicaid Q036789
Other 2150719 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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