Individual provider · Type 1 NPI

Kelly E. Brodetsky, PharmD

Pharmacist · Mendocino, CA

NPI number 1659446540 Active

Practice location

10501 Lansing Street, #904
Mendocino, CA 95460-0904

Fax (707) 937-5800

Mailing address

PO Box 904
Mendocino, CA 95460-0904

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPHY45989 (CA)

Pharmacist: 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…

About NPI 1659446540

Kelly E. Brodetsky, PharmD's National Provider Identifier is 1659446540, issued on Nov 24, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mendocino, CA. The record was last updated on Mar 7, 2023.