Individual provider · Type 1 NPI

Tyler Wisse

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Springfield, OH

NPI number 1871460253 Active

Practice location

2989 Derr Rd
Springfield, OH 45503-1369

Call (937) 390-0767 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X03446118 (OH)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

5 other providers at this address

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About NPI 1871460253

Tyler Wisse's National Provider Identifier is 1871460253, issued on Oct 21, 2025. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Springfield, OH. The record was last updated on Jul 13, 2026.