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Contact Information

K VA T FOOD STORES INC
4100 COOL SPRINGS ROAD
MORRISTOWN, TN37814
 Phone: 423-317-5020
 Fax: 423-318-6999
 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 Number 1811205404
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 09/17/2010
Last updated 02/07/2012 - About 14 years ago
Identifiers
Other 4277861 BLUE CROSS BLUE SHIELD OF TN
TN Other 414557 ANTHEM BCBS
TN Other 4277861 BC BS TN
TN Other 4443571 NCPDP
TN Other 1523264 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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