Organization
VIVENT PHARMACY LLC
Active
Other names
AMC Pharmacy, 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
600 WILLIAMSON ST, SUITE H, MADISON, WI 53703-3588
(844) 342-7294
(833) 836-3888
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
9332-42
WI
Other
Enumeration date
06/30/2015
Last updated
05/02/2024
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