Organization
CMV PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN VALENTA (PRESIDENT)
(315) 875-7000
Entity
Organization
Contact information
Practice address
143 S PETERBORO ST, CANASTOTA, NY 13032-1371
(315) 875-7000
Mailing address
143 S PETERBORO ST, CANASTOTA, NY 13032-1371
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040416
LICENSE
NY
Enumeration date
01/10/2026
Last updated
01/10/2026
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