Healthcare Provider Details

I. General information

NPI: 1790940153
Provider Name (Legal Business Name): YANINA PASIKHOVA PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 BAY PINES BOULEVARD
BAY PINES FL
33744
US

IV. Provider business mailing address

10000 BAY PINES BLVD
BAY PINES FL
33744
US

V. Phone/Fax

Practice location:
  • Phone: 727-398-6661
  • Fax:
Mailing address:
  • Phone: 727-398-6661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number052185
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: