Organization
FOUR WAY PRESCRIPTION SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN C LOTT DPH (OWNER)
(865) 933-2451
Entity
Organization
Contact information
Practice address
8707A ASHEVILLE HWY, KNOXVILLE, TN 37924-4502
(865) 933-2451
(865) 932-1838
Mailing address
8707A ASHEVILLE HWY, KNOXVILLE, TN 37924-4502
(865) 933-2451
(865) 932-1838
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3562149
—
TN
Enumeration date
02/20/2007
Last updated
04/13/2020
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