Organization
VIVENT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY FIELDS (CHIEF PHARMACY OFFICER)
(414) 223-6874
Entity
Organization
Contact information
Practice address
104 E HIGHLAND MALL BLVD STE 100A, AUSTIN, TX 78752-3776
(833) 366-6664
(877) 770-9910
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
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
09/24/2020
Last updated
06/27/2024
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