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K Va T Food Stores Inc
Community/Retail Pharmacy in Harriman, Tennessee
NPI 1588681068

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 Harriman, TN. The NPI Number for K Va T Food Stores Inc is 1588681068 and holds a License No. (Tennessee).

The current practice location address for K Va T Food Stores Inc is 1130 S Roane Street, Harriman, TN and can be reached out via phone at 865-882-0117 and via fax at 865-882-7698.

Location: 1130 S Roane Street, Harriman, TN, 24212-1158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588681068
Provider Name
K Va T Food Stores Inc
Credential
Provider Entity Type
Organization
Address
1130 S Roane Street, Harriman, TN, 24212-1158
Phone Number
865-882-0117
Fax Number
865-882-7698
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1454481 01 TN TENNCARE DME
4082947 01 TN BCBS OF TENNESSEE
115692 01 ANTHEM BCBS
4437249 01 OTHER ID NUMBER-COMMERCIAL NUMBER
4437249 01 NCPDP
3913901 01 MEDICARE FLU SHOTS
institution
Provider Business Practice Location Address Details
Address
1130 S Roane Street
City
Harriman
State
Tennessee
Zip
37748
Phone Number
865-882-0117
Fax Number
865-882-7698
person
Provider Business Mailing Address Details
Address
1130 S Roane Street
City
Harriman
State
Tennessee
Zip
37748
Phone Number
865-882-0117
Fax Number
865-882-7698
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.
3994 (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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