National Provider Identifier Database

K VA T FOOD STORES INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

K-VA-T FOOD STORES, INC.
112 CRIMSON DRIVE
TRENTON, GA30752
Phone: 706-657-3734
Fax: 706-657-3734
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for K-VA-T FOOD STORES, INC.

NPI Number 1912376492
Legal business name
LBN
K-VA-T FOOD STORES, INC.
Authorized official STEVEN SMITH - (CHAIRMAN, PRESIDENT & CEO)
Entity Organization
Organization subpart No
Enumeration date 09/15/2015
Last updated 07/12/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 003168110A
  • GA Other: P01659427 RR MEDICARE FLU

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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