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General NPI Number Information
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NPI Number | 1073471066
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Entity Type | Organization
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Legal Business Name | CMV PHARMACY INC
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 143 S PETERBORO ST
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City | CANASTOTA
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State | NY
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Zip | 13032-1371
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Country | US
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Telephone | 315-875-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 143 S PETERBORO ST
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City | CANASTOTA
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State | NY
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Zip | 13032-1371
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | COLIN VALENTA
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Credential |
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Telephone | 315-875-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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