Food City Pharmacy #622

LBN: K Va T Food Stores Inc.
Food City Pharmacy #622 is an health care organization with primary practice located at 1317 Virginia Ave Hwy 421, Bristol TN 37620-5158. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. K Va T Food Stores Inc. can be contacted via phone (276) 623-5100, or through Smith, Steven C via phone (276) 623-5100.

Contact Information

Primary practice address
1317 Virginia Ave Hwy 421 Bristol TN 37620-5158
Phone: (276) 623-5100
Fax: (276) 623-5440
Website:
Map and Directions
Authorized official contact:
Name: Smith, Steven C
Phone: (276) 623-5100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1578958146
LBN Legal business name K Va T Food Stores Inc.
DBA Doing business as Food City Pharmacy #622
Authorized official Smith, Steven C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2015
Last updated Jul 4th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578958146 NPPES
Tennessee Other Q021826 MEDICAID DME

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