Provider Demographics
NPI:1982331021
Name:TEICHMAN, ALYSSA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:
Last Name:TEICHMAN
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 1:2105 AVENUE F NW
Mailing Address - Street 2:
Mailing Address - City:CHILDRESS
Mailing Address - State:TX
Mailing Address - Zip Code:79201-2219
Mailing Address - Country:US
Mailing Address - Phone:940-937-8242
Mailing Address - Fax:
Practice Address - Street 1:2105 AVENUE F NW
Practice Address - Street 2:
Practice Address - City:CHILDRESS
Practice Address - State:TX
Practice Address - Zip Code:79201-2219
Practice Address - Country:US
Practice Address - Phone:940-937-2054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist