1700874591 MIRAVIDA LIVING
Long Term Care Pharmacy
Active
Basic Information
- Organization Name
- MIRAVIDA LIVING
- Enumeration Date
- October 6, 2005
- Last Update
- July 19, 2018
- Authorized Official
- BARRY BREWER BS-PHARMACY
DIRECTOR OF PHARM SERVICES
Phone: (920) 966-1345
Practice Location
- Address
- 225 N EAGLE ST
OSHKOSH, WI 549024125 - Phone
- (920) 966-1345
- Fax
- (920) 966-1285
Mailing Address
- Address
- 225 N EAGLE ST
OSHKOSH, WI 549024125 - Phone
- (920) 966-1345
- Fax
- (920) 966-1285
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Pharmacy | 333600000X | Pharmacy | N/A | N/A | No |
| Community/Retail Pharmacy Community/Retail Pharmacy | 3336C0003X | Pharmacy | N/A | N/A | No |
| Long Term Care Pharmacy Long Term Care Pharmacy | 3336L0003X | Pharmacy | 827342 | WI | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2110060 | 01 | N/A | PK |
| 33267400 | 05 | WI | N/A |
Frequently Asked Questions
What is MIRAVIDA LIVING's NPI number?
MIRAVIDA LIVING's NPI number is 1700874591.
Which doctor has NPI number 1700874591?
The doctor with NPI number 1700874591 is MIRAVIDA LIVING.
What is MIRAVIDA LIVING's practice address?
MIRAVIDA LIVING's practice address is 225 N EAGLE ST, OSHKOSH, WI, 549024125.
Which doctor practices at 225 N EAGLE ST, OSHKOSH, WI, 549024125?
MIRAVIDA LIVING practices at 225 N EAGLE ST, OSHKOSH, WI, 549024125.
What is MIRAVIDA LIVING's phone number?
MIRAVIDA LIVING's phone number is (920) 966-1345.
Who is (920) 966-1345?
(920) 966-1345 is the phone number for MIRAVIDA LIVING.
What is MIRAVIDA LIVING's specialty?
MIRAVIDA LIVING's specialty is Long Term Care Pharmacy.
What type of doctor is MIRAVIDA LIVING?
MIRAVIDA LIVING is a Long Term Care Pharmacy.
Is MIRAVIDA LIVING a Long Term Care Pharmacy?
Yes, MIRAVIDA LIVING is a Long Term Care Pharmacy.
Is MIRAVIDA LIVING still practicing?
Yes, MIRAVIDA LIVING is currently practicing.
Is MIRAVIDA LIVING accepting new patients?
MIRAVIDA LIVING may be accepting new patients. Please call their office at (920) 966-1345 to inquire about availability.
Is NPI 1700874591 still active?
Yes, NPI 1700874591 is currently active.
Where does MIRAVIDA LIVING practice?
MIRAVIDA LIVING practices in OSHKOSH, WI.