Provider Demographics
NPI:1811335284
Name:TYLER, KAREY ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:KAREY
Middle Name:ANN
Last Name:TYLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 SKYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4117
Mailing Address - Country:US
Mailing Address - Phone:724-831-7752
Mailing Address - Fax:
Practice Address - Street 1:25 NORTHGATE PLZ
Practice Address - Street 2:UNIT #19
Practice Address - City:HARMONY
Practice Address - State:PA
Practice Address - Zip Code:16037-9257
Practice Address - Country:US
Practice Address - Phone:724-452-6851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist