Organization
BI LO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB AULT (DISTRICT PHARMACY MANAGER)
(706) 537-0357
Entity
Organization
Contact information
Practice address
6951 LEE HWY, CHATTANOOGA, TN 37421-2447
(423) 855-3072
Mailing address
1509 SALEM LOOP, GREENBACK, TN 37742-3201
(865) 556-4214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39560
TN
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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