Miravida Living INC
Pharmacy, Long Term Care Pharmacy in Oshkosh, WI. Organization (NPI-2).
NPI number1700874591
StatusActive
Last updated in NPPESAug 12, 2026
Details
- NPI
- 1700874591
- Entity type
- Organization (NPI-2)
- Legal business name
- Miravida Living INC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2005
- Certification date
- Aug 12, 2026
- Last updated
- Aug 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | 827342 | WI | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Lho Pharmacy LLC (Doing Business As)
Practice location
225 N Eagle StOshkosh, WI 54902-4125
Phone 920-966-1345 · Fax 920-966-1285
Mailing address
225 N Eagle StOshkosh, WI 54902-4125
Phone 920-966-1345 · Fax 920-966-1285
Authorized official
Kerri L Schueler
Director Of Pharmacy
9209661345
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