DR. Marissa Faye Tysiak, PHARM. D. is a student in an organized health care education training program in Charleston, WV. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Marissa Faye Tysiak, PHARM. D. NPI is 1316180813. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3110 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-210
Phone: (304) 388-9948
The enumeration date for this NPI number is 4/13/2009 and was last updated on 4/13/2009.