Food City Pharmacy 612

LBN: K Va T Food Stores Inc
Food City Pharmacy 612 is an health care organization with primary practice located at 1287 E Main St , Rogersville TN 37857-6922. 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 (423) 272-3790, or through Smith, Steven C via phone (276) 623-5100.

Contact Information

Primary practice address
1287 E Main St Rogersville TN 37857-6922
Phone: (423) 272-3790
Fax: (423) 272-3940
Website:
Map and Directions
Authorized official contact:
Name: Smith, Steven C
Phone: (276) 623-5100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1700034022
LBN Legal business name K Va T Food Stores Inc
DBA Doing business as Food City Pharmacy 612
Authorized official Smith, Steven C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2008
Last updated Mar 16th, 2010 - about 16 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 1700034022 NPPES
Tennessee Other 1510116 TENNCARE CROSSOVER
Tennessee Other 4441630 TENNCARE CROSSOVER
Tennessee Other 357534 TENNCARE CROSSOVER
Tennessee Other 4198608 TENNCARE CROSSOVER
Tennessee Other 600002658 TENNCARE CROSSOVER

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