Organization
AMC PHARMACY LLC
Active
Other names
AMC Pharmacy, Vivent Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TONY FIELDS PHARM D (CHIEF PHARMACY OFFICER)
(414) 223-6874
Entity
Organization
Contact information
Practice address
2653 LOCUST ST, SAINT LOUIS, MO 63103-1411
(855) 751-8878
(833) 529-0573
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
05/02/2024
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