Provider Demographics
NPI:1023483997
Name:DOYLE, EILEEN BRIGID (PHARMD)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:BRIGID
Last Name:DOYLE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2187 SHATTUCK AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1308
Mailing Address - Country:US
Mailing Address - Phone:510-982-3727
Mailing Address - Fax:510-982-3737
Practice Address - Street 1:2187 SHATTUCK AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1308
Practice Address - Country:US
Practice Address - Phone:510-982-3727
Practice Address - Fax:510-982-3737
Is Sole Proprietor?:No
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA63386OtherCALIFORNIA BOARD OF PHARMACY