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K Va T Food Stores, Inc.
Community/Retail Pharmacy in Blaine, Tennessee
NPI 1124494455

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 Blaine, TN. The NPI Number for K Va T Food Stores, Inc. is 1124494455 and holds a License No. (Tennessee).

The current practice location address for K Va T Food Stores, Inc. is 180 Rutledge Pike, Blaine, TN and can be reached out via phone at 865-933-0762 and via fax at 865-932-1704.

Location: 180 Rutledge Pike, Blaine, TN, 24212-1158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124494455
Provider Name
K Va T Food Stores, Inc.
Credential
Provider Entity Type
Organization
Address
180 Rutledge Pike, Blaine, TN, 24212-1158
Phone Number
865-933-0762
Fax Number
865-932-1704
Provider Enumeration Date
08/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q021827 01 TN MEDICAID DME
institution
Provider Business Practice Location Address Details
Address
180 Rutledge Pike
City
Blaine
State
Tennessee
Zip
37709-2416
Phone Number
865-933-0762
Fax Number
865-932-1704
person
Provider Business Mailing Address Details
Address
180 Rutledge Pike
City
Blaine
State
Tennessee
Zip
37709-2416
Phone Number
865-933-0762
Fax Number
865-932-1704
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.
()
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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