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Contact Information

K-VA-T FOOD STORES, INC
2310 MCGRADY DRIVE
CLEVELAND, TN37323
 Phone: 423-599-7053
 Fax: 423-790-0006
 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-VA-T FOOD STORES, INC

NPI Number 1477806065
LBN Legal business name K-VA-T FOOD STORES, INC
Authorized official STEVEN SMITH - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2012
Last updated 01/14/2025 - More than a year ago
Identifiers
TN License # 5095
Other 4445397 NCPDP PROVIDER IDENTIFICATION NUMBER
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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