Provider Demographics
NPI:1427727783
Name:CATALANO, TERESA CARIDAD (PHARMD)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:CARIDAD
Last Name:CATALANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2783 ELKCAM BLVD
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-3427
Mailing Address - Country:US
Mailing Address - Phone:386-789-3786
Mailing Address - Fax:
Practice Address - Street 1:2783 ELKCAM BLVD
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-3427
Practice Address - Country:US
Practice Address - Phone:386-789-3786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63220183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist