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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRAVIDA LIVING

Active Organization

MIRAVIDA LIVING is a Retail Pharmacy organization located in OSHKOSH, Wisconsin. NPI 1700874591 is currently active in the NPPES registry. Verify at CMS.

Retail Pharmacy · OSHKOSH, WI

Registration Details

NPI Number
1700874591
Provider Type
Organization
NPI Issued
Oct 6, 2005 (20.879693271509 yrs)
Last Updated
Jul 19, 2018
License
827342 (WI)

Practice Information

Address
225 N EAGLE ST
OSHKOSH, WI, 549024125
Browse WI providers · Browse ZIP 54902
Phone
9209661345
Fax
9209661285
Primary Specialty
Retail Pharmacy
3336L0003X
Additional Specialty
Long-Term Care Pharmacy
Additional Specialty
Retail Pharmacy

Other Retail Pharmacy Organizations in OSHKOSH, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.