Miravida Living is not a DME supplier for medicare equipments and products.
Miravida Living is a Long Term Care Pharmacy in Oshkosh, Wisconsin. It is located at 225 N Eagle St, Oshkosh and it's customer support contact number is 920-966-1345. The authorized person of Miravida Living is Barry Brewer, BS-PHARMACY who is Director Of Pharm Services of the pharmacy and his contact number is 920-966-1345. Active license number of Miravida Living is 827342 for Long Term Care Pharmacy in Wisconsin. Miravida Living is 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.
Pharmacy Details:
Miravida Living type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Miravida Living
Type:
Long Term Care Pharmacy
Location:
225 N Eagle St, Oshkosh, Wisconsin, 54902-4125
Phone:
920-966-1345
Fax:
920-966-1285
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Barry Brewer
Credentials:
BS-PHARMACY
Position:
Director Of Pharm Services
Contact Number:
920-966-1345
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1700874591
NPI Enumeration Date:
06 Oct, 2005
NPI Last Update On:
19 Jul, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miravida Living are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
827342
Wisconsin
Primary
Pharmacy
Secondary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2110060
Other
Pk
33267400
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
225 N Eagle St, Oshkosh, Wisconsin
Zip:
54902-4125
Phone Number:
920-966-1345
Fax Number:
920-966-1285
Patients can reach Miravida Living at 225 N Eagle St, Oshkosh, Wisconsin or can call on customer care at 920-966-1345.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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