Miravida Living

NPI #1700874591 in Oshkosh, Wisconsin

Provider Information

NPI Number
1700874591
Entity Type
Organization
Organization Name
Miravida Living
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Oct 6, 2005
Last Updated
Jul 19, 2018

Practice Location

Address
225 N EAGLE ST
ZIP Code
54902-4125
Phone
(920) 966-1345

Authorized Official

Name
BARRY BREWER, BS-PHARMACY
Title
DIRECTOR OF PHARM SERVICES
Phone
(920) 966-1345

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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