Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Ann Tyson

Individual provider Pharmacist · NPI 1619645637

Carly Ann Tyson is a Pharmacist in Wyoming, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

3601 Clyde Park Ave SW
Wyoming, MI 49509-4023
Phone: (616) 257-6641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302413669 (MI)

Record details

NPI number1619645637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2021
Last updated in NPPESSeptember 3, 2021
Certification dateAugust 18, 2021
Mailing address500 Coit Ave Ne, Apt 302, Grand Rapids, MI 49503

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