Dougherty Pharmacy

LBN: Cmv Pharmacy Inc.
Dougherty Pharmacy is an health care organization with primary practice located at 14 E Main St , Morrisville NY 13408. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cmv Pharmacy Inc. can be contacted via phone (315) 684-3171, or through Valenta, Colin via phone (607) 321-1562.

Contact Information

Primary practice address
14 E Main St Morrisville NY 13408
Phone: (315) 684-3171
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Valenta, Colin PHARMD
Phone: (607) 321-1562

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 033602 New York
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1376920710
LBN Legal business name Cmv Pharmacy Inc.
DBA Doing business as Dougherty Pharmacy
Authorized official Valenta, Colin PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2015
Last updated Jun 14th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376920710 NPPES
New York MEDICAID 04126954

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