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Contact Information

K VA T FOOD STORES INC
300 MARKET DRIVE
LENOIR CITY, TN37771
 Phone: 865-986-7032
 Fax: 865-986-8991
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for K VA T FOOD STORES INC

NPI # 1619129004
LBN Legal business name K VA T FOOD STORES INC
Authorized official STEVEN SMITH - (CHAIRMAN, PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2008
Last updated 01/21/2009 - About 17 years ago
Identifiers
Other 359315 ANTHEM BCBS MEDIGAP
Other 4441832 NCPDP
TN Other 4202402 BLUE CROSS BLUE SHIELD OF TN
TN Other 600002658 RAILROAD MEDICARE
TN Other 1509480 TENNCARE CROSSOVER
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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