MEDICARE: FOUR WAY PRESCRIPTION SHOP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477697589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUR WAY PRESCRIPTION SHOP

Provider Business Mailing Address
First Line	:	8707A ASHEVILLE HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37924-4502
Country	:	US
Telephone Number	:	865-933-2451
Fax Number	:	865-932-1838

Provider Business Practice Location Address
First Line	:	8707A ASHEVILLE HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37924-4502
Country	:	US
Telephone Number	:	865-933-2451
Fax Number	:	865-932-1838

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BEN C LOTT
Credential	:	DPH
Telephone Number	:	865-933-2451

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	04/13/2020

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Directions to “FOUR WAY PRESCRIPTION SHOP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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