Individual provider · Type 1 NPI

Koth Michael Cassavaugh, PharmD

Pharmacist · Auburn, NY

NPI number 1164778015 Active

Practice location

17 Lansing St
Auburn, NY 13021-1983

Call (315) 255-7296 Map

Fax (315) 255-7307

Mailing address

736 Irving Ave
Syracuse, NY 13210-1687

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X046277 (NY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1164778015

Koth Michael Cassavaugh, PharmD's National Provider Identifier is 1164778015, issued on Jul 30, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Auburn, NY. The record was last updated on Sep 13, 2018.