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1164778015
KOTH MICHAEL CASSAVAUGH
AUBURN, NY
NPI
1164778015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 046277)
Enumeration Date
2012-07-30
Last Update Date
2018-09-13
Business Address
KOTH MICHAEL CASSAVAUGH Pharm.D.
17 LANSING ST
AUBURN, NY 13021-1983
Phone number: 315-255-7296
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Mailing Address
KOTH MICHAEL CASSAVAUGH Pharm.D.
736 IRVING AVE
SYRACUSE, NY 13210-1687
Phone number: 315-470-8061
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