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
1017 MADISON MARKETPLACE, HAMILTON, NY 13346-2343
(315) 825-9800
(315) 825-9224
Mailing address
1017 MADISON MARKETPLACE, HAMILTON, NY 13346-2343
(315) 825-9800
(315) 825-9224
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035151
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167458
PK
—
Enumeration date
01/27/2017
Last updated
10/22/2024
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