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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 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 1912376492
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 09/15/2015
Last updated 07/12/2016 - About 10 years ago
Identifiers
GA Medicaid 003168110A
GA Other P01659427 RR MEDICARE FLU
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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