NPI | 1174220404 |
---|---|
Doing Business As | VIVENT PHARMACY |
Entity Type | Organization |
Authorized Contact | TONY FIELDS Chief Pharmacy Officer 414-223-6874 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2023-02-07 |
Last Update Date | 2024-05-02 |