MEDICARE: DR. TYLER W LENG PHARMD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	125647	MN
2	1835X0200X	Oncology Pharmacist	125647	MN
3	1835C0207X	Compounded Sterile Preparations Pharmacist	125647	MN
4	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	125647	MN

General Provider Information

NPI Number	:	1487387213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TYLER W LENG PHARMD.

Provider Business Mailing Address
First Line	:	47 SPRUCE PL UNIT 410
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-6108
Country	:	US
Telephone Number	:	347-461-5133
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E 28TH ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-3723
Country	:	US
Telephone Number	:	612-863-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2022
Last Update Date	:	02/07/2026

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