K Va T Food Stores Inc in Maynardville - Pharmacy

K Va T Food Stores Inc - NPI 1902062722

K Va T Food Stores Inc is a Pharmacy in Maynardville, Tennessee. K Va T Food Stores Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for K Va T Food Stores Inc is 1902062722. The last update date is 2014-06-26.

K Va T Food Stores Inc's current location address is 4344 Maynardville Hwy, Maynardville, Tennessee. You can contact this provider via phone number 8659920534 and fax number 8655770079. The mailing address for K Va T Food Stores Inc is 4344 Maynardville Hwy, Maynardville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization K Va T Food Stores Inc
Address 4344 Maynardville Hwy, Maynardville, Tennessee
Phone Number 8659920534
Fax Number 8655770079
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHAIRMAN P
Authorized Official Name Smith C Steven
Telephone Number 2766235100

NPI Number Detail

NPI Number 1902062722
Provider Enumeration Date 2008-07-31
Last Updated Date 2014-06-26

Provider Mailing Address Detail

Address 4344 Maynardville Hwy
City Maynardville
State Tennessee (TN)
Post Code 378073618
Phone Number 8659920534
Fax Number 8655770079

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4191321 TN BLUE CROSS BLUE SHIELD OF TN
4441539 NCPDP
1507770 TN TENNCARE CROSSOVER
354500 ANTHEM BCBS MEDIGAP
600002658 TN RAILROAD MEDICARE

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FAQs about K Va T Food Stores Inc

What is the unique identification code assigned to K Va T Food Stores Inc by the Centers for Medicare & Medicaid Services?

The K Va T Food Stores Inc has been issued the NPI (National Provider Identifier) 1902062722. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where K Va T Food Stores Inc is physically located?

The K Va T Food Stores Inc is physically situated at the following address: 4344 Maynardville Hwy, Maynardville, TN, 378073618.

What is K Va T Food Stores Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for K Va T Food Stores Inc is Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 333600000X.

On what date was the 1902062722 assigned to K Va T Food Stores Inc?

The K Va T Food Stores Inc was issued its 1902062722 on 2008-07-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to K Va T Food Stores Inc most recently updated or revised?

The information pertaining to K Va T Food Stores Inc, including its address, specialty, and other relevant details, was last updated or revised on 2014-06-26.

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