Whalio Doctors

NPI 1366469843

K VA T Food Stores INC

Organisation Community/Retail Pharmacy Gray, TN

Practice location

Address
125 Judge Gresham Rd, Gray, TN 37615-6213
Phone
(423) 467-0023
Fax
(423) 467-4215
Mailing address
PO Box 1158, Abingdon, VA 24212-1158

Authorised official

Name
Steven C Smith
Title
President & Ceo
Phone
(276) 623-5100

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X Licence 4087 (TN)

Registry record

NPI
1366469843
Entity type
Organization
NPI issued
17 Jul 2006
Record last updated
26 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.