Healthcare Provider Details

I. General information

NPI: 1851336952
Provider Name (Legal Business Name): DOYLES CORNER DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 HIGH ST
IPSWICH MA
01938-1246
US

IV. Provider business mailing address

126 HIGH ST
IPSWICH MA
01938-1246
US

V. Phone/Fax

Practice location:
  • Phone: 978-356-2121
  • Fax: 978-356-7173
Mailing address:
  • Phone: 978-356-2121
  • Fax: 978-356-7173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberDS2654
License Number StateMA

VIII. Authorized Official

Name: ALEXANDER DOYLE
Title or Position: OWNER
Credential: PHARMACY
Phone: 978-356-2121