Individual provider · Type 1 NPI
Tyler Jerome Wallenfang, PharmD
Pharmacist · Appleton, WI
Practice location
1350 W College Ave
Appleton, WI 54914-4974
Fax (920) 739-5813
Mailing address
1350 W College Ave Ste A
Appleton, WI 54914-4974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 14922-40 (WI) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1225217136
Tyler Jerome Wallenfang, PharmD's National Provider Identifier is 1225217136, issued on Oct 26, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Appleton, WI. The record was last updated on Apr 10, 2023.