Provider Demographics
NPI:1295731511
Name:CATANZARO, DAVID AUSTIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:AUSTIN
Last Name:CATANZARO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5709 MARK LN
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-6747
Mailing Address - Country:US
Mailing Address - Phone:614-527-9855
Mailing Address - Fax:
Practice Address - Street 1:1955 W HENDERSON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2401
Practice Address - Country:US
Practice Address - Phone:614-340-0144
Practice Address - Fax:614-340-0145
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-26243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist