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VIVENT PHARMACY LLC
STD543011 Vivent Health
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Covered Entity Details
Entity Name
Vivent Health
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD543011
Entity Address
445 SOUTH ADAMS STREET
GREEN BAY, WI 54301
Grant Number
5H25PS004336-03
Participating Start Date
1/1/2017
Last Recertification Date
5/5/2025
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
10/27/2016
Contract Begin Date
1/1/2017
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
Contract Pharmacy Representative
Richard Fons, Vice President of Pharmacy Services
(414) 223-6832
Signed By Date
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