Provider Demographics
NPI:1174709703
Name:DARDYK, JULIA (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:DARDYK
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 EMMONS AVE APT 308
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1133
Mailing Address - Country:US
Mailing Address - Phone:917-650-9766
Mailing Address - Fax:718-975-0474
Practice Address - Street 1:3235 EMMONS AVE APT 308
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1133
Practice Address - Country:US
Practice Address - Phone:917-650-9766
Practice Address - Fax:718-975-0474
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046800-11835G0303X
NJ28RI025267001835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric