# VIVENT PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AMC Pharmacy, Vivent Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801279583
- **Authorized official:** TONY FIELDS (CHIEF PHARMACY OFFICER)
- **Authorized official phone:** (414) 223-6874

## Contact information

- **Practice address:** 600 WILLIAMSON ST, SUITE H, MADISON, WI 53703-3588
- **Practice address phone:** (844) 342-7294
- **Practice address fax:** (833) 836-3888
- **Mailing address:** 1311 N 6TH ST STE 201, MILWAUKEE, WI 53212-4006
- **Mailing address phone:** (800) 359-9272
- **Mailing address fax:** (833) 368-1247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9332-42 | WI | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 05/02/2024