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Bi Lo Llc

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.

physician-icon Basic Information

Practice Location 2310 Mcgrady Dr Se, Cleveland, TN 37323-7146, US
Practice Location Phone423-473-8021
Practice Location Fax423-476-1459
Legal Business NameBI LO LLC
Other Organization NameBI LO PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1083707442
Entity TypeOrganization
Enumeration Date ? Sep 30, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Bi Lo Llc

SpecialtySpecializationLicenseLicense State
Pharmacy 3328Tennessee
PharmacyCommunity/Retail Pharmacy

legacy-id-icon Legacy Provider IDs of Bi Lo Llc

Provider IdIssuer StateIssuer TypeIssuer
4432148OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1452288TennesseeMedicaid

official-icon Authorized Official of Bi Lo Llc

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/PositionPHARMACY MANAGER
Authorized Official Phone Number423-473-8021