Provider Demographics
NPI:1255935425
Name:BOYLE, DOUGLAS AUSTIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:AUSTIN
Last Name:BOYLE
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 1:2193 YORK RD
Mailing Address - Street 2:
Mailing Address - City:JAMISON
Mailing Address - State:PA
Mailing Address - Zip Code:18929-1681
Mailing Address - Country:US
Mailing Address - Phone:215-491-7176
Mailing Address - Fax:
Practice Address - Street 1:2193 YORK RD
Practice Address - Street 2:
Practice Address - City:JAMISON
Practice Address - State:PA
Practice Address - Zip Code:18929-1681
Practice Address - Country:US
Practice Address - Phone:215-491-7176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist