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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