Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deaven Gisslen, PHARMD

Individual provider Pharmacist · NPI 1467282798

Deaven Gisslen, PHARMD is a Pharmacist in Red Lake, Minnesota. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2024
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

24760 Hospital Rd
Red Lake, MN 56671
Phone: (218) 679-3912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P10715 (ID)

Record details

NPI number1467282798
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateJuly 22, 2024
Mailing address24760 Hospital Rd, Red Lake, MN 56671

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