Individual provider · Type 1 NPI

Marissa Faye Tysiak, PHARM. D.

Student in an Organized Health Care Education/Training Program · Charleston, WV

NPI number 1316180813 Active

Practice location

3110 Maccorkle Ave SE
Charleston, WV 25304-1210

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1316180813

Marissa Faye Tysiak, PHARM. D.'s National Provider Identifier is 1316180813, issued on Apr 13, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charleston, WV. The record was last updated on Apr 13, 2009.