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Dr. Kelly E. Brodetsky, PHARMD
Pharmacist in Mendocino, California
NPI 1659446540

Kelly E. Brodetsky is a Pharmacist based in Mendocino, CA. Kelly E. Brodetsky practices in Mendocino, CA and has the professional credentials of PHARMD. The NPI Number for Kelly E. Brodetsky is 1659446540 and holds a License No. PHY45989 (California).

The current practice location address for Kelly E. Brodetsky is 10501 Lansing Street, Mendocino, CA and can be reached out via phone at 707-937-4800 and via fax at 707-937-5800.

Location: 10501 Lansing Street, Mendocino, CA, 95460-0904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659446540
Provider Name
Kelly E. Brodetsky
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
10501 Lansing Street, Mendocino, CA, 95460-0904
Phone Number
707-937-4800
Fax Number
707-937-5800
Provider Enumeration Date
11/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHY45989 01 CA STATE LICENSE NUMBER
412046786 01 CA FEDERAL TAX ID
0582292 01 CA NCPDP NUMBER
PHA459890 05 CA
institution
Provider Business Practice Location Address Details
Address
10501 Lansing Street
City
Mendocino
State
California
Zip
95460-0904
Phone Number
707-937-4800
Fax Number
707-937-5800
person
Provider Business Mailing Address Details
Address
10501 Lansing Street
City
Mendocino
State
California
Zip
95460-0904
Phone Number
707-937-4800
Fax Number
707-937-5800
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PHY45989 (California)
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.
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