Organization
VIVMEDS PHARMACY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA TEMILOLA DOMINIC (OWNER/PHARMACIST IN CHARGE)
(940) 226-4849
Entity
Organization
Contact information
Practice address
3303 UNICORN LAKE BLVD STE 280, DENTON, TX 76210-0169
(940) 226-4849
(940) 226-4859
Mailing address
3303 UNICORN LAKE BLVD STE 280, DENTON, TX 76210-0169
(940) 226-4849
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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