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Organization
BI-LO PHARMACY
Active
Organization
BI-LO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BOOTH PHARMD (PHARMACIST)
(423) 503-5860
Entity
Organization
Contact information
Practice address
9213 LEE HWY, OOLTEWAH, TN 37363-8828
(423) 238-5594
(423) 238-4119
Mailing address
9213 LEE HWY, OOLTEWAH, TN 37363-8828
(423) 238-5594
(423) 238-4119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34563
TN
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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