MEDICARE: ALL MEDICINE INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	05394	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3410141	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992716534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL MEDICINE INC

Provider Business Mailing Address
First Line	:	111 S MAIN ST
Second Line	:
City	:	RED SPRINGS
State	:	NC
Zip	:	28377-1511
Country	:	US
Telephone Number	:	910-843-4531
Fax Number	:	910-843-4687

Provider Business Practice Location Address
First Line	:	111 S MAIN ST
Second Line	:
City	:	RED SPRINGS
State	:	NC
Zip	:	28377-1511
Country	:	US
Telephone Number	:	910-843-4531
Fax Number	:	910-843-4687

Authorized Official
Title or Position	:	PHARMACIST OWNER
Name	:	JAMES BELL
Credential	:	R PH
Telephone Number	:	910-843-4531

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	03/15/2011

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