Bi-lo, Llc. is a health care provider in Jacksonville, FL. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 2055 Wedgefield Rd, Sumter, SC 29154-4654, US |
|Practice Location Phone||803-938-9926|
|Practice Location Fax||803-773-6088|
|Legal Business Name||BI-LO, LLC.|
|Other Organization Name||BI-LO PHARMACY #5417|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Sep 30, 2006|
|Last Update Date ? ||Jul 15, 2013|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Bi-lo, Llc.
|Specialty||Provider Type||Specialization||License||License State|
|Durable Medical Equipment & Medical Supplies||Suppliers|| ||14517||South Carolina|
|Pharmacy||Suppliers||Community/Retail Pharmacy |
Legacy Provider IDs of Bi-lo, Llc.
|Provider Id||Issuer State||Issuer Type||Issuer|
|4223753||Other||OTHER ID NUMBER-COMMERCIAL NUMBER|
|DE2166||South Carolina||Other||MEDICAID DME|
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 || M. Sandlin Grimm|
|Authorized Official Title/Position||SECRETARY|
|Authorized Official Phone Number||904-783-5578|