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NPI 1700874591

OrganizationActive

Miravida Living

NPI 1700874591 · Long Term Care Pharmacy · Oshkosh, WI

Provider details

NPI number: 1700874591
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Authorized official: Barry Brewer, Director of Pharm Services

Practice location

225 N Eagle St

Oshkosh, WI 54902-4125

Phone: (920) 966-1345

Fax: (920) 966-1285

More WI providers

Mailing address

225 N Eagle St

Oshkosh, WI 54902-4125

Registry dates

Enumerated: 2005-10-06
Last updated: 2018-07-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Miravida Living — NPI 1700874591, Oshkosh, WI | NPI Central