Healthcare Provider Details

I. General information

NPI: 1649369299
Provider Name (Legal Business Name): CATOZZI CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 W 2ND ST
BLOOMINGTON IN
47403-2210
US

IV. Provider business mailing address

730 W 2ND ST
BLOOMINGTON IN
47403-2210
US

V. Phone/Fax

Practice location:
  • Phone: 812-331-7979
  • Fax:
Mailing address:
  • Phone: 812-331-7979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number60004239A
License Number StateIN

VIII. Authorized Official

Name: MRS. KENDRA RAE WELLS
Title or Position: PHARMACIST
Credential: PHARMD
Phone: 812-331-7979