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Individual

DR. CHRISTOPHER MICHAEL KOTOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1328 ABBOTT RD, LACKAWANNA, NY 14218-1910
(716) 828-1696
(716) 828-1089
Mailing address
1328 ABBOTT RD, LACKAWANNA, NY 14218-1910
(716) 828-1696
(716) 828-1089

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051938
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01912716
NY
Enumeration date
12/11/2007
Last updated
09/21/2011
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