Miravida Living
Miravida Living is a Pharmacy in Oshkosh, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
225 N Eagle StOshkosh, WI 54902-4125
Phone: (920) 966-1345
Fax: (920) 966-1285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X · Licence 827342 (WI) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Community/Retail Pharmacy | Taxonomy 3336C0003X |
Record details
| NPI number | 1700874591 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Barry Brewer — Director Of Pharm Services · (920) 966-1345 |
| Other names | Lho Pharmacy Llc |
| NPI enumerated | October 6, 2005 |
| Last updated in NPPES | July 19, 2018 |
| Mailing address | 225 N Eagle St, Oshkosh, WI 54902-4125 |
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