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K Va T Food Stores Inc
Community/Retail Pharmacy in Maryville, Tennessee
NPI 1043237407

K Va T Food Stores Inc is a Community/Retail Pharmacy based in Abingdon, TN and is specialized in Community/Retail Pharmacy. K Va T Food Stores Inc practices in Maryville, TN. The NPI Number for K Va T Food Stores Inc is 1043237407 and holds a License No. (Tennessee).

The current practice location address for K Va T Food Stores Inc is 2135 E Broadway Ave, Maryville, TN and can be reached out via phone at 865-981-4338 and via fax at 865-981-4347.

Location: 2135 E Broadway Ave, Maryville, TN, 24212-1158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043237407
Provider Name
K Va T Food Stores Inc
Credential
Provider Entity Type
Organization
Address
2135 E Broadway Ave, Maryville, TN, 24212-1158
Phone Number
865-981-4338
Fax Number
865-981-4347
Provider Enumeration Date
07/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4439178 01 OTHER ID NUMBER-COMMERCIAL NUMBER
191694 01 ANTHEM BCBS
4439178 01 NCPDP
3913901 01 MEDICARE FLU SHOTS
4121927 01 TN BCBS OF TENNESSEE
1455076 01 TN TENNCARE DME
institution
Provider Business Practice Location Address Details
Address
2135 E Broadway Ave
City
Maryville
State
Tennessee
Zip
37804-3034
Phone Number
865-981-4338
Fax Number
865-981-4347
person
Provider Business Mailing Address Details
Address
2135 E Broadway Ave
City
Maryville
State
Tennessee
Zip
37804-3034
Phone Number
865-981-4338
Fax Number
865-981-4347
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
1688 (Tennessee)
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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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