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Individual

MITCHELL CAVANAUGH

Active
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Individual

MITCHELL CAVANAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
5302412556
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5302412556
PHARMACIST LICENSE
MI
01
5315219725
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
03/06/2019
Last updated
01/23/2025
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