NPI 1366469843
K VA T Food Stores INC
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
Durable Medical Equipment & Medical Supplies
Pharmacy
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.