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Miravida Living
Long Term Care Pharmacy in Oshkosh, Wisconsin
NPI 1700874591

Miravida Living is a Long Term Care Pharmacy based in Oshkosh, WI and is specialized in Long Term Care Pharmacy. Miravida Living practices in Oshkosh, WI. The NPI Number for Miravida Living is 1700874591 and holds a License No. (Wisconsin).

The current practice location address for Miravida Living is 225 N Eagle St, Oshkosh, WI and can be reached out via phone at 920-966-1345 and via fax at 920-966-1285.

Location: 225 N Eagle St, Oshkosh, WI, 54902-4125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700874591
Provider Name
Miravida Living
Credential
Provider Entity Type
Organization
Address
225 N Eagle St, Oshkosh, WI, 54902-4125
Phone Number
920-966-1345
Fax Number
920-966-1285
Provider Enumeration Date
10/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2110060 01 PK
33267400 05 WI
institution
Provider Business Practice Location Address Details
Address
225 N Eagle St
City
Oshkosh
State
Wisconsin
Zip
54902-4125
Phone Number
920-966-1345
Fax Number
920-966-1285
person
Provider Business Mailing Address Details
Address
225 N Eagle St
City
Oshkosh
State
Wisconsin
Zip
54902-4125
Phone Number
920-966-1345
Fax Number
920-966-1285
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
827342 (Wisconsin)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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