Provider Demographics
NPI:1851574412
Name:TISCHLER, JOYCE KRYSZAK (RPH)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:KRYSZAK
Last Name:TISCHLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6370 VERSAILLES RD
Mailing Address - Street 2:
Mailing Address - City:LAKE VIEW
Mailing Address - State:NY
Mailing Address - Zip Code:14085-9550
Mailing Address - Country:US
Mailing Address - Phone:716-627-9858
Mailing Address - Fax:
Practice Address - Street 1:6939 ERIE RD
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:NY
Practice Address - Zip Code:14047-9406
Practice Address - Country:US
Practice Address - Phone:716-947-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist