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K Va T Food Stores Inc
Community/Retail Pharmacy in White Pine, Tennessee
NPI 1063439412

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 White Pine, TN. The NPI Number for K Va T Food Stores Inc is 1063439412 and holds a License No. (Tennessee).

The current practice location address for K Va T Food Stores Inc is 1212 State St, White Pine, TN and can be reached out via phone at 865-674-7517 and via fax at 865-674-8198.

Location: 1212 State St, White Pine, TN, 24212-1158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063439412
Provider Name
K Va T Food Stores Inc
Credential
Provider Entity Type
Organization
Address
1212 State St, White Pine, TN, 24212-1158
Phone Number
865-674-7517
Fax Number
865-674-8198
Provider Enumeration Date
07/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4432376 01 NCPDP
3913901 01 MEDICARE FLU SHOTS
1454304 01 TN TENNCARE
3104029 01 TN BCBS OF TENNESSEE
103136 01 ANTHEM BCBS
4432376 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
1212 State St
City
White Pine
State
Tennessee
Zip
37890-3467
Phone Number
865-674-7517
Fax Number
865-674-8198
person
Provider Business Mailing Address Details
Address
1212 State St
City
White Pine
State
Tennessee
Zip
37890-3467
Phone Number
865-674-7517
Fax Number
865-674-8198
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.
3350 (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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