Organization
VIVMEDS PHARMACY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA T DOMINIC PHARM. D (PHARMACIST)
(940) 226-4849
Entity
Organization
Contact information
Practice address
3303 UNICORN LAKE BLVD # 280, DENTON, TX 76210-0160
(940) 226-4849
(940) 226-4859
Mailing address
3303 UNICORN LAKE BLVD # 280, DENTON, TX 76210-0160
(940) 226-4849
(940) 226-4859
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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