Individual provider · Type 1 NPI

Carly Ann Tyson

Pharmacist · Wyoming, MI

NPI number 1619645637 Active

Practice location

3601 Clyde Park Ave SW
Wyoming, MI 49509-4023

Call (616) 257-6641 Map

Mailing address

500 Coit Ave NE, Apt 302
Grand Rapids, MI 49503

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302413669 (MI)

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…

8 other providers at this address

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About NPI 1619645637

Carly Ann Tyson's National Provider Identifier is 1619645637, issued on Sep 3, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Wyoming, MI. The record was last updated on Sep 3, 2021.