Lho Pharmacy Llc

LBN: Miravida Living
Lho Pharmacy Llc is an health care organization with primary practice located at 225 N Eagle St , Oshkosh WI 54902-4125. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Miravida Living can be contacted via phone (920) 966-1345, or through Brewer, Barry via phone (920) 966-1345.

Contact Information

Primary practice address
225 N Eagle St Oshkosh WI 54902-4125
Phone: (920) 966-1345
Fax: (920) 966-1285
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Barry BS-PHARMACY
Phone: (920) 966-1345

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 827342 Wisconsin

Profile Details

NPI number 1700874591
LBN Legal business name Miravida Living
DBA Doing business as Lho Pharmacy Llc
Authorized official Brewer, Barry BS-PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 19th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700874591 NPPES
Other 2110060 PK
MEDICAID 33267400 PK

Popular Providers