Organization
CMV PHARMACY INC
Active
Other names
Dougherty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN VALENTA (PRESIDENT)
(607) 323-1303
Entity
Organization
Contact information
Practice address
143 S PETERBORO ST, CANASTOTA, NY 13032
(315) 875-7000
(315) 875-7979
Mailing address
2 WESTWOOD DR, JOHNSON CITY, NY 13790-4318
(607) 321-1562
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
11/28/2023
Last updated
10/22/2024
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