Food City Pharmacy #230

LBN: K-Va-T Food Stores, Inc.
Food City Pharmacy #230 is an health care organization with primary practice located at 502 Gi Maddox Parkway , Chatsworth GA 30705. 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 (706) 695-0424, or through Smith, Steven C. via phone (276) 623-5100.

Contact Information

Primary practice address
502 Gi Maddox Parkway Chatsworth GA 30705
Fax: (706) 695-0423
Website:
Authorized official contact:
Name: Smith, Steven C.

Health care specialties

Profile Details

NPI number 1306214630
LBN Legal business name K-Va-T Food Stores, Inc.
DBA Doing business as Food City Pharmacy #230
Authorized official Smith, Steven C.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2015
Last updated Apr 5th, 2017 - about 9 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 1306214630 NPPES
Georgia MEDICAID 003168116A
Georgia Other P01659427

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