| NPI | 1376731547 |
|---|---|
| Doing Business As | LAKEWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEITH ALLEMAN Mang 865-406-4942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 4433) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2010-05-04 |