| Organization Name: | BI-LO, LLC. |
| NPI Number: | 1801989264 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CURTIS HARTIN (SR. DIRECTOR OF PHARMACY) |
| Mailing Address: | 835 Smithville Hwy Suite 25 Mc Minnville |
| State: | TN US |
| Postal Code: | 371101669 |
| Phone Number: | 9314739626 |
| Fax Number: | 9314734985 |
| NPI Enumeration Date: | 09/30/2006 |
| NPI Last Update Date: | 03/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | C1611 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |