MIRAVIDA LIVING

OSHKOSH, WI
NPI1700874591
Doing Business AsLHO PHARMACY LLC
Entity TypeOrganization
Authorized ContactBARRY BREWER
Director Of Pharm Services
920-966-1345
Organization Subpart ?No
Primary Taxonomy3336L0003X Pharmacy, Long Term Care Pharmacy
(Licence: WI  827342)
Additional Taxonomies333600000X Pharmacy
3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date2005-10-06
Last Update Date2018-07-19
Business Address
MIRAVIDA LIVING
225 N EAGLE ST
OSHKOSH, WI 54902-4125
Phone number: 920-966-1345
Mailing Address
MIRAVIDA LIVING
225 N EAGLE ST
OSHKOSH, WI 54902-4125
Phone number: 920-966-1345