Individual ProviderTyler WilsonPharmacistPharmacy Service ProvidersPractice Address3010 W Tilghman St, Allentown, PA 18104-4208(610) 776-6551PECOS EnrollmentBased on the most recent information from CMS, provider Tyler Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1265037253Provider TypeIndividualFull NameWilson, TylerTitleDr.CredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date11/30/2020Last Updated11/30/2020Contact InformationPractice LocationPractice Address3010 W Tilghman St, Allentown, PA 18104-4208Phone(610) 776-6551FaxUnlisted FaxMailing LocationMailing Address3010 W Tilghman St, Allentown, PA 18104-4208Phone(610) 776-6551FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP452789Pennsylvania