Provider Demographics
NPI:1316576648
Name:BERNADSKIY, EKATERINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EKATERINA
Middle Name:
Last Name:BERNADSKIY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 CORAL LN
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-2203
Mailing Address - Country:US
Mailing Address - Phone:917-362-4578
Mailing Address - Fax:
Practice Address - Street 1:1261 CORAL LN
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-2203
Practice Address - Country:US
Practice Address - Phone:917-362-4578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist