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NPI Code Detail

MEDICARE: DOYLES RX PHARMACY

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
13336C0003XCommunity/Retail Pharmacy
2333600000XPharmacyPHY42139CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20576617OTHEROTHER 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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