Carly Ann Tyson

Pharmacist · Wyoming, MI

Individual Active NPI

NPI number 1619645637

Practice location

3601 Clyde Park Ave SW
Wyoming, MI 49509-4023
Phone
(616) 257-6641

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NPI record

NPI
1619645637
Entity type
Individual (Type 1)
Enumeration date
September 3, 2021
Last updated
September 3, 2021
Certified
August 18, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 5302413669 MI

Mailing address

500 Coit Ave NE
Apt 302
Grand Rapids, MI 49503

About Carly Tyson

Carly Ann Tyson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 3601 Clyde Park Ave SW, Wyoming, MI 49509-4023. The NPI number 1619645637 was assigned on September 3, 2021 and the record was last updated on September 3, 2021.

Carly Tyson lists a license in the registry: #5302413669 (MI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carly Ann Tyson?

The NPI number is 1619645637.

What is the phone number of Carly Tyson?

The phone number listed for the practice location is (616) 257-6641.

Where is Carly Tyson located?

3601 Clyde Park Ave SW, Wyoming, MI 49509-4023.

What is the taxonomy code for Carly Tyson?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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