# CMV PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dougherty Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093442097
- **Authorized official:** COLIN VALENTA (PRESIDENT)
- **Authorized official phone:** (607) 323-1303

## Contact information

- **Practice address:** 14 E MAIN ST, MORRISVILLE, NY 13408
- **Practice address phone:** (315) 684-3171
- **Mailing address:** PO BOX 237, MORRISVILLE, NY 13408-0237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2022
- **Last updated:** 10/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 033602 | STATE LICENSE | NY |