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Organization
VIVENT PHARMACY LLC
Active
Organization
VIVENT PHARMACY LLC
Active
Other names
AMC Pharmacy, Vivent Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TONY FIELDS (CHIEF PHARMACY OFFICER)
(414) 223-6874
Entity
Organization
Contact information
Practice address
600 WILLIAMSON ST, SUITE H, MADISON, WI 53703-3588
(844) 342-7294
(833) 836-3888
Mailing address
1311 N 6TH ST STE 201, MILWAUKEE, WI 53212-4006
(800) 359-9272
(833) 368-1247
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
9332-42
WI
Other
Enumeration date
06/30/2015
Last updated
05/02/2024
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