# BI LO PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770959777
- **Authorized official:** MR. BOB AULT (DISTRICT PHARMACY MANAGER)
- **Authorized official phone:** (706) 537-0357

## Contact information

- **Practice address:** 6951 LEE HWY, CHATTANOOGA, TN 37421-2447
- **Practice address phone:** (423) 855-3072
- **Mailing address:** 1509 SALEM LOOP, GREENBACK, TN 37742-3201
- **Mailing address phone:** (865) 556-4214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 39560 | TN | Yes |

## Other

- **Enumeration date:** 08/13/2015
- **Last updated:** 08/13/2015