Healthcare Provider Details

I. General information

NPI: 1295731511
Provider Name (Legal Business Name): DAVID AUSTIN CATANZARO PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 W HENDERSON RD
COLUMBUS OH
43220-2401
US

IV. Provider business mailing address

5709 MARK LN
DUBLIN OH
43016-6747
US

V. Phone/Fax

Practice location:
  • Phone: 614-340-0144
  • Fax: 614-340-0145
Mailing address:
  • Phone: 614-527-9855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-2-26243
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: