Bi Lo Llc is a health care provider in Cleveland, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||2310 Mcgrady Dr Se, Cleveland, TN 37323-7146, US|
|Practice Location Phone||423-473-8021|
|Practice Location Fax||423-476-1459|
|Legal Business Name||BI LO LLC|
|Other Organization Name||BI LO PHARMACY|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Sep 30, 2006|
|Last Update Date ?||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Provider Id||Issuer State||Issuer Type||Issuer|
|4432148||Other||OTHER ID NUMBER-COMMERCIAL NUMBER|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Bi Lo Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Grover Rivenbark|
|Authorized Official Title/Position||PHARMACY MANAGER|
|Authorized Official Phone Number||423-473-8021|