Provider Demographics
NPI:1225765993
Name:DOYLE, DEWAYNE R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEWAYNE
Middle Name:R
Last Name:DOYLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 COTTAGE AVE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-6104
Mailing Address - Country:US
Mailing Address - Phone:636-384-0776
Mailing Address - Fax:
Practice Address - Street 1:165 N STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5015
Practice Address - Country:US
Practice Address - Phone:603-223-6713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233226183500000X
NH3737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist