Healthcare Provider Details

I. General information

NPI: 1174502447
Provider Name (Legal Business Name): DOYLES RX PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8618 S SEPULVEDA BLVD
LOS ANGELES CA
90045-4005
US

IV. Provider business mailing address

8618 S SEPULVEDA BLVD
LOS ANGELES CA
90045-4005
US

V. Phone/Fax

Practice location:
  • Phone: 310-670-1342
  • Fax: 310-670-8797
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY42139
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GERALD LAXER
Title or Position: PIC
Credential:
Phone: 310-486-3794