Provider Demographics
NPI:1164249256
Name:TISCHLER, LAUREN (PHARMD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
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 1:6402 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:CHRISTOVAL
Mailing Address - State:TX
Mailing Address - Zip Code:76935-4401
Mailing Address - Country:US
Mailing Address - Phone:210-563-9073
Mailing Address - Fax:
Practice Address - Street 1:122 S OAKES ST
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-6408
Practice Address - Country:US
Practice Address - Phone:325-747-6247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist