Provider Demographics
NPI:1457005860
Name:SCHAPER, TY COLE (PHARM D)
Entity Type:Individual
Prefix:
First Name:TY
Middle Name:COLE
Last Name:SCHAPER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 XENIUM LN N APT 351
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-2216
Mailing Address - Country:US
Mailing Address - Phone:701-870-1886
Mailing Address - Fax:
Practice Address - Street 1:585 NORTHTOWN DR NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-1045
Practice Address - Country:US
Practice Address - Phone:763-780-7350
Practice Address - Fax:763-784-3626
Is Sole Proprietor?:No
Enumeration Date:2022-02-05
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN125160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist