MIRAVIDA LIVING
Organization (NPI-2)
Active
Pharmacy, Long Term Care Pharmacy
Provider Information
- NPI Number
1700874591- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 225 N EAGLE ST, OSHKOSH, WI, 549024125
- Phone
- (920) 966-1345
- Fax
- (920) 966-1285
Specialties & Taxonomies
Pharmacy
Pharmacy, Community/Retail Pharmacy
Pharmacy, Long Term Care Pharmacy
Primary License: WI #827342