Organization
VIVENT PHARMACY MICHIGAN LLC
Active
Organization
VIVENT PHARMACY MICHIGAN LLC
Active
Other names
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
64 VICTOR ST STE 101, HIGHLAND PARK, MI 48203-3128
(888) 810-1434
(313) 447-2239
Mailing address
1311 N 6TH ST STE 201, MILWAUKEE, WI 53212-4006
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
11/10/2025
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