340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
VIVENT PHARMACY LLC
HV00621 Vivent Health
Print
Covered Entity Details
Entity Name
Vivent Health
Subdivision Name
GREEN BAY
Type
Ryan White Part C
340B ID
HV00621
Entity Address
445 SOUTH ADAMS STREET
GREEN BAY, WI 54301
Grant Number
H76HA00621
Participating Start Date
1/1/2013
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
VIVENT PHARMACY LLC
Pharmacy Address
DBA VIVENT PHARMACY
1311 N 6TH ST STE 101
MILWAUKEE, WI 53212
Pharmacy Comments
Contract Details
Approval Date
7/9/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/15/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael Gifford, CEO
(414) 225-1547
Contract Pharmacy Representative
Signed By Date
7/9/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session