MEDICARE: DOYLES RX PHARMACY

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	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	PHY42139	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0576617	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1174502447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOYLES RX PHARMACY

Provider Business Mailing Address
First Line	:	8618 S SEPULVEDA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-4005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8618 S SEPULVEDA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-4005
Country	:	US
Telephone Number	:	310-670-1342
Fax Number	:	310-670-8797

Authorized Official
Title or Position	:	PIC
Name	:	GERALD LAXER
Credential	:
Telephone Number	:	310-486-3794

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	09/11/2025

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Directions to “DOYLES RX PHARMACY ” Practice Location

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