Provider Demographics
NPI:1851371553
Name:CATALANO, NEAL ALAN (RPH, CDE)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:ALAN
Last Name:CATALANO
Suffix:
Gender:M
Credentials:RPH, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14553 SOUTH SILT STONE RD
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84065
Mailing Address - Country:US
Mailing Address - Phone:801-253-8898
Mailing Address - Fax:
Practice Address - Street 1:3793 S STATE ST
Practice Address - Street 2:DIABETES SPECIALTY CENTER
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-4828
Practice Address - Country:US
Practice Address - Phone:801-268-9699
Practice Address - Fax:801-268-9929
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2008-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT131796-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist