Individual provider · Type 1 NPI

Kennon Latrell Tyre Iii, PharmD

Pharmacist · Waycross, GA

NPI number 1629068895 Active

Practice location

410 Darling Ave, Pharmacy Department
Waycross, GA 31501-5246

Call (912) 287-2640 Map

Fax (912) 287-2642

Mailing address

937 Dogwood Dr
Blackshear, GA 31516-2302

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X18517 (GA)

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…

27 other providers at this address

Other pharmacist providers in Waycross

See all in Waycross →

About NPI 1629068895

Kennon Latrell Tyre Iii, PharmD's National Provider Identifier is 1629068895, issued on Oct 27, 2005. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Waycross, GA. The record was last updated on Jul 13, 2026.