OrganizationActive
Bi-Lo Pharmacy
NPI 1679840490 · Pharmacy · Moncks Corner, SC
Provider details
- NPI number
- 1679840490
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jimmy Lifsey, Pharmacy Manager(843) 761-5506
- License
- 9437 (SC)
Specialties & taxonomies
Suppliers
Practice location
110 S Highway 52
Moncks Corner, SC 29461-3954
Phone: (843) 761-5506
Fax: (843) 761-0965
Approximate (ZIP-level) locationGet directions
Mailing address
110 S Highway 52
Moncks Corner, SC 29461-3954
Registry dates
- Enumerated
- 2011-11-22
- Last updated
- 2011-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.