NPI | 1760784086 |
---|---|
Doing Business As | VIVENT PHARMACY |
Doing Business As | AMC PHARMACY |
Entity Type | Organization |
Authorized Contact | TONY FIELDS Chief Pharmacy Officer 414-223-6874 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9049-42) |
Enumeration Date | 2010-11-18 |
Last Update Date | 2024-05-02 |