DR. STACEY KAY TYSVER- NELSON PHARMD
NPI 1912237363
Pharmacist in Cass Lake, MN

Active since January 07, 2010
425 7TH ST NW, CASS LAKE, MN 56633(218) 335-3267 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stacey Kay Tysver- Nelson Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACEY KAY TYSVER- NELSON PHARMD (NPI 1912237363) is an individual pharmacist in Cass Lake, Minnesota, licensed in Minnesota (119695) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1912237363
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. STACEY KAY TYSVER- NELSONCredential: PHARMD
Location Address425 7TH ST NWCass Lake, MN 56633-3360
Mailing Address425 7th St NwCass Lake, MN 56633-3360 · (218) 335-3267
Sole ProprietorNo
Enumeration DateJanuary 7, 2010
Last NPPES UpdateFebruary 24, 2016
NPI 1912237363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MN · 119695
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

425 7TH ST NW, Cass Lake, MN 56633

Other Names 1

Former Name (1)Stacey K Tysver

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
425 7TH ST NW
CASS LAKE, MN 56633
Family Medicine
425 7TH ST NW
CASS LAKE, MN 56633
Physical Therapist
425 7TH ST NW
CASS LAKE, MN 56633
Family Medicine
425 7TH ST NW
CASS LAKE, MN 56633
Family Medicine
425 7TH ST NW
CASS LAKE, MN 56633
Dentist
425 7TH ST NW
CASS LAKE, MN 56633
Pharmacist
425 7TH ST NW
CASS LAKE, MN 56633
Dental Hygienist
425 7TH ST NW, CASS LAKE PHS INDIAN HOSPITAL
CASS LAKE, MN 56633

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912237363, enumerated as an "individual" on January 07, 2010.

The provider is located at 425 7TH ST NW CASS LAKE, MN 56633 and the phone number is (218) 335-3267.

Pharmacist with taxonomy code 183500000X.