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

Dr. Tyler Wesley Waller, PHARMD

Individual provider Pharmacist · NPI 1568076602

Dr. Tyler Wesley Waller, PHARMD is a Pharmacist in Grand Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone: (218) 999-1892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 120141 (MN)

Record details

NPI number1568076602
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedSeptember 5, 2020
Last updated in NPPESSeptember 5, 2020
Certification dateSeptember 5, 2020

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