Provider Demographics
NPI:1518787480
Name:SABADASH, SVETLANA I (PHARMD)
Entity type:Individual
Prefix:
First Name:SVETLANA
Middle Name:I
Last Name:SABADASH
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 1:255 BETHEL HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-2754
Mailing Address - Country:US
Mailing Address - Phone:859-537-3717
Mailing Address - Fax:
Practice Address - Street 1:3795 E JOHN ROWAN BLVD
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-3214
Practice Address - Country:US
Practice Address - Phone:502-349-6044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY024509183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist