Dr. Kelly E. Brodetsky
Pharmacist
10501 Lansing Street, #904, Mendocino
California, 95460-0904
707-937-4800 707-937-5800
Dr. Kelly E. Brodetsky is a pharmacist in Mendocino, California. Patients can reach her at 10501 Lansing Street, #904, Mendocino or contact her on 707-937-4800. Active license number of Dr. Kelly E. Brodetsky is PHY45989 for Pharmacist in California.
Dr. Kelly E. Brodetsky is 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.
Complete Profile:
Dr. Kelly E. Brodetsky speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Dr. Kelly E. Brodetsky |
| Specialization: | Pharmacist |
| Credentials: | PHARMD |
| Gender: | Female |
| Location: | 10501 Lansing Street, #904, Mendocino,
California, 95460-0904 |
| Phone: | 707-937-4800 |
| Fax: | 707-937-5800 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Dr. Kelly E. Brodetsky are as mentioned below.
| NPI Number: | 1659446540 |
| NPI Enumeration Date: | 24 Nov, 2006 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly E. Brodetsky are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | PHY45989 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kelly E. Brodetsky such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PHY45989 | Other | California | State License Number |
| 412046786 | Other | California | Federal Tax Id |
| 0582292 | Other | California | Ncpdp Number |
| PHA459890 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 904,
Mendocino, California |
| Zip: | 95460-0904 |
| Phone Number: | 707-937-4800 |
| Fax Number: | 707-937-5800 |
Patients can reach Dr. Kelly E. Brodetsky at
10501 Lansing Street, #904, Mendocino, California or can
call on phone at 707-937-4800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.