Healthcare Provider Details

I. General information

NPI: 1689183774
Provider Name (Legal Business Name): BELEW DRUG CHOTO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 CHOTO MARKETS WAY
KNOXVILLE TN
37922-5760
US

IV. Provider business mailing address

2021 N BROADWAY ST
KNOXVILLE TN
37917-5808
US

V. Phone/Fax

Practice location:
  • Phone: 865-766-4424
  • Fax: 865-671-3067
Mailing address:
  • Phone: 865-525-4189
  • Fax: 865-525-9456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number6072
License Number StateTN

VIII. Authorized Official

Name: WILLIAM PHILLIP CLEAR III
Title or Position: OWNER
Credential:
Phone: 865-934-0212