Provider Demographics
NPI:1871871087
Name:POWERS, DOYLE EDISON (RPH)
Entity type:Individual
Prefix:MR
First Name:DOYLE
Middle Name:EDISON
Last Name:POWERS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 JEFFERSON DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-8972
Mailing Address - Country:US
Mailing Address - Phone:919-776-2380
Mailing Address - Fax:
Practice Address - Street 1:2240 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-8972
Practice Address - Country:US
Practice Address - Phone:919-776-2380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC07551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist