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Carly Ann Tyson
Pharmacist in Wyoming, Michigan
NPI 1619645637

Carly Ann Tyson is a Pharmacist based in Grand Rapids, MI. Carly Ann Tyson practices in Wyoming, MI. The NPI Number for Carly Ann Tyson is 1619645637 and holds a License No. 5302413669 (Michigan).

The current practice location address for Carly Ann Tyson is 3601 Clyde Park Ave Sw, Wyoming, MI and can be reached out via phone at 616-257-6641.

Location: 3601 Clyde Park Ave Sw, Wyoming, MI, 49503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619645637
Provider Name
Carly Ann Tyson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3601 Clyde Park Ave Sw, Wyoming, MI, 49503
Phone Number
616-257-6641
Fax Number
Provider Enumeration Date
09/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3601 Clyde Park Ave Sw
City
Wyoming
State
Michigan
Zip
49509-4023
Phone Number
616-257-6641
Fax Number
person
Provider Business Mailing Address Details
Address
3601 Clyde Park Ave Sw
City
Wyoming
State
Michigan
Zip
49509-4023
Phone Number
616-257-6641
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302413669 (Michigan)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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