Vivent Pharmacy LLC

NPI #1144950056 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1144950056
Entity Type: Organization
Organization Name: Vivent Pharmacy LLC
Primary Specialty: Pharmacy - Mail Order Pharmacy
Enumeration Date: Jun 14, 2022
Last Updated: Jul 25, 2024

Practice Location

Address: 1311 N 6TH ST STE 102
City: Milwaukee
State: Wisconsin
ZIP Code: 53212-4006
Phone: (414) 223-6820

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Pharmacy - Mail Order Pharmacy — Mail Order Pharmacy	3336M0002X	Primary

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