Provider Demographics
NPI:1982615993
Name:DOYLE'S FAMILY PHARMACY, INC
Entity Type:Organization
Organization Name:DOYLE'S FAMILY PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:641-484-3906
Mailing Address - Street 1:108 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:IA
Mailing Address - Zip Code:52342-1510
Mailing Address - Country:US
Mailing Address - Phone:641-484-3906
Mailing Address - Fax:641-484-5009
Practice Address - Street 1:108 E HIGH ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:IA
Practice Address - Zip Code:52342-1510
Practice Address - Country:US
Practice Address - Phone:641-484-3906
Practice Address - Fax:641-484-5009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA569332BD1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0084160Medicaid
IA569OtherPHARMACY LIC #
IA1607463OtherNCPDP
IA0178160001Medicare NSC