MEDICARE: MR. JOHN KEVIN BICE RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	11210	AL

General Provider Information

NPI Number	:	1952421877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN KEVIN BICE RPH

Provider Business Mailing Address
First Line	:	6020 STEELE STATION RD
Second Line	:
City	:	RAINBOW CITY
State	:	AL
Zip	:	35906-8713
Country	:	US
Telephone Number	:	615-891-0379
Fax Number	:

Provider Business Practice Location Address
First Line	:	3403 RAINBOW DR
Second Line	:
City	:	RAINBOW CITY
State	:	AL
Zip	:	35906-6215
Country	:	US
Telephone Number	:	256-442-7480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	11/30/2020

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