Healthcare Provider Details

I. General information

NPI: 1720632532
Provider Name (Legal Business Name): KENDRA LYNN CATALANO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 07/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 MARKET AVE N
CANTON OH
44714-1428
US

IV. Provider business mailing address

3147 BRETTON ST NW APT E
NORTH CANTON OH
44720-8377
US

V. Phone/Fax

Practice location:
  • Phone: 330-456-0515
  • Fax:
Mailing address:
  • Phone: 716-785-2219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03438976
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: