Individual provider · Type 1 NPI

Tyler Wesley Waller, PHARMD.

Pharmacist · Grand Rapids, MN

NPI number 1568076602 Active

Practice location

1601 Golf Course Rd
Grand Rapids, MN 55744-8648

Call (218) 999-1892 Map

Mailing address

28791 River View Dr
Grand Rapids, MN 55744-5664

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X120141 (MN)

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 1568076602

Tyler Wesley Waller, PHARMD.'s National Provider Identifier is 1568076602, issued on Sep 5, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Rapids, MN. The record was last updated on Sep 5, 2020.