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Individual

DR. CODY BRUCE RACHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
908 STATE ST, OGDENSBURG, NY 13669-3348
(315) 393-1714
Mailing address
908 STATE ST, OGDENSBURG, NY 13669-3348
(315) 393-1714

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
065663
NY

Other

Enumeration date
09/25/2020
Last updated
09/25/2020
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