Healthcare Provider Details

I. General information

NPI: 1164612180
Provider Name (Legal Business Name): ANDREW JOSEPH MUZYK PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 MAIL SERVICE CTR
RALEIGH NC
27699-3600
US

IV. Provider business mailing address

6207 SPRING MEADOW DR
CHAPEL HILL NC
27517-2589
US

V. Phone/Fax

Practice location:
  • Phone: 919-733-5266
  • Fax:
Mailing address:
  • Phone: 919-733-5266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number18596
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: