Vivent Pharmacy Illinois LLC

NPI #1003509019 in Chicago, Illinois

Provider Information

NPI Number
1003509019
Entity Type
Organization
Organization Name
Vivent Pharmacy Illinois LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 26, 2023
Last Updated
Apr 8, 2024

Practice Location

Address
5537 N BROADWAY ST STE 101
ZIP Code
60640-1405
Phone
(888) 655-2078

Authorized Official

Name
TONY FIELDS
Title
CHIEF PHARMACY OFFICER
Phone
(414) 223-6874

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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