K Va T Food Stores INC
Pharmacy, Community/Retail Pharmacy in Damascus, VA. Organization (NPI-2).
NPI number1477570950
StatusActive
Last updated in NPPESJun 26, 2014
Details
- NPI
- 1477570950
- Entity type
- Organization (NPI-2)
- Legal business name
- K Va T Food Stores INC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2006
- Last updated
- Jun 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | 0201003945 | VA |
Other names
- Food City Pharmacy (Doing Business As)
Practice location
736 N Beaver Dam RdDamascus, VA 24236-2125
Phone 276-475-3653 · Fax 276-475-5374
Mailing address
Po Box 1158Abingdon, VA 24212-1158
Authorized official
Steven C Smith
President & Ceo
2766235100
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