Provider Demographics
NPI:1861127805
Name:DOYLE, JAMES PATRICK (PHARMD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
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 1:11974 W CACTUS CT
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-5161
Mailing Address - Country:US
Mailing Address - Phone:360-209-9209
Mailing Address - Fax:
Practice Address - Street 1:528 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:ID
Practice Address - Zip Code:83647-2117
Practice Address - Country:US
Practice Address - Phone:208-587-3365
Practice Address - Fax:208-587-1545
Is Sole Proprietor?:No
Enumeration Date:2022-07-22
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP10088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist