Provider Demographics
NPI:1134859143
Name:TISCHLER, MORGHAN E'LISE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MORGHAN
Middle Name:E'LISE
Last Name:TISCHLER
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 1:844 PEARCE ST
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76233-2740
Mailing Address - Country:US
Mailing Address - Phone:903-818-0019
Mailing Address - Fax:
Practice Address - Street 1:1201 OLIVE ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-3501
Practice Address - Country:US
Practice Address - Phone:940-668-7384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX34846129OtherDRIVER'S LICENSE