Provider Demographics
NPI:1346397494
Name:L DOYLE INC
Entity Type:Organization
Organization Name:L DOYLE INC
Other - Org Name:EGGLESTONS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHEA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:815-895-2444
Mailing Address - Street 1:600 PEARSON DR
Mailing Address - Street 2:
Mailing Address - City:GENOA
Mailing Address - State:IL
Mailing Address - Zip Code:60135-1340
Mailing Address - Country:US
Mailing Address - Phone:815-784-5511
Mailing Address - Fax:815-784-4898
Practice Address - Street 1:600 PEARSON DR
Practice Address - Street 2:
Practice Address - City:GENOA
Practice Address - State:IL
Practice Address - Zip Code:60135-1340
Practice Address - Country:US
Practice Address - Phone:815-784-5511
Practice Address - Fax:815-784-4898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
IL0540154183336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1477670OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1477670OtherOTHER ID NUMBER
1477670OtherOTHER ID NUMBER
1477670OtherOTHER ID NUMBER