Dr Tyler Jerome Wallenfang, PHARMD - Pharmacist in Appleton, WI

Dr Tyler Jerome Wallenfang, PHARMD is a Pharmacist based in Appleton, Wisconsin. Dr Tyler Jerome Wallenfang is licensed to practice in Wisconsin (license number 14922-40) and his current practice location is 1350 W College Ave, Appleton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 739-9232.

NPI number for Dr Tyler Jerome Wallenfang is 1225217136 and his current mailing address is 1350 W College Ave Ste A, Appleton, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225217136.

Contact Information

Dr Tyler Jerome Wallenfang, PHARMD
1350 W College Ave,
Appleton, WI 54914-4974
(920) 739-9232
(920) 739-5813

Healthcare Provider's Profile

Full NameDr Tyler Jerome Wallenfang
GenderMale
SpecialityPharmacist
Location1350 W College Ave, Appleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225217136
  • Provider Enumeration Date: 10/26/2007
  • Last Update Date: 04/10/2023

Medical Identifiers

Medical identifiers for Dr Tyler Jerome Wallenfang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225217136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 14922-40 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tyler Jerome Wallenfang is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tyler Jerome Wallenfang, PHARMD
1350 W College Ave Ste A,
Appleton, WI 54914-4974

Ph: (920) 739-9232
Dr Tyler Jerome Wallenfang, PHARMD
1350 W College Ave,
Appleton, WI 54914-4974

Ph: (920) 739-9232

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› Verified 3 days ago


Pharmacist in Appleton, WI

Jennifer Marie Fleege, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1800 S Kensington Dr, Appleton, WI 54915
Phone: 920-749-9775    
Dr. Nicholas Laricchia, PHARMD
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Medicare: Not Enrolled in Medicare
Practice Location: 1800 S Kensington Dr, Appleton, WI 54915
Phone: 920-749-9775    
Christy Vogel,
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Practice Location: 955 N Mutual Way, Appleton, WI 54913
Phone: 920-954-6400    
Karla Knobbe,
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Medicare: Not Enrolled in Medicare
Practice Location: 10 Tri Park Way, Appleton, WI 54914
Phone: 920-831-0070    
Dr. Tou Xiong Thao, PHARMD
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Medicare: Not Enrolled in Medicare
Practice Location: 1818 N Meade Street, Appleton, WI 54911
Phone: 920-454-3200    
Ms. Elizabeth M Simon-wochinski, RPH
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Medicare: Not Enrolled in Medicare
Practice Location: N162 Eisenhower Dr, Appleton, WI 54915
Phone: 920-731-4830    
Drazen Savic,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2803 N Meade St, Appleton, WI 54911
Phone: 920-830-6985    

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