Provider Demographics
NPI:1417750316
Name:HOLDERREAD, BETHANY (PHARMD)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:HOLDERREAD
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19950 W COUNTRY CLUB DR FL 7
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4601
Mailing Address - Country:US
Mailing Address - Phone:305-662-8515
Mailing Address - Fax:
Practice Address - Street 1:19950 W COUNTRY CLUB DR FL 7
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-4601
Practice Address - Country:US
Practice Address - Phone:305-662-8515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15211183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist