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
14 E MAIN ST, MORRISVILLE, NY 13408
(315) 684-3171
Mailing address
PO BOX 237, MORRISVILLE, NY 13408-0237
(315) 684-3171
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033602
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04126954
—
NY
Enumeration date
05/06/2015
Last updated
10/22/2024
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