Bi-Lo Pharmacy

NPI #1093114043 in Ooltewah, Tennessee

Provider Information

NPI Number: 1093114043
Entity Type: Organization
Organization Name: Bi-Lo Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Aug 15, 2014
Last Updated: Aug 15, 2014

Practice Location

Address: 9213 LEE HWY
City: Ooltewah
State: Tennessee
ZIP Code: 37363-8828
Phone: (423) 238-5594

Authorized Official

Name: MR. MICHAEL BOOTH, PHARMD
Title: PHARMACIST
Phone: (423) 503-5860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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