# MIRAVIDA LIVING INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LHO PHARMACY LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700874591
- **Authorized official:** KERRI L SCHUELER PHARMD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (920) 966-1345

## Contact information

- **Practice address:** 225 N EAGLE ST, OSHKOSH, WI 54902-4125
- **Practice address phone:** (920) 966-1345
- **Practice address fax:** (920) 966-1285
- **Mailing address:** 225 N EAGLE ST, OSHKOSH, WI 54902-4125
- **Mailing address phone:** (920) 966-1345
- **Mailing address fax:** (920) 966-1285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 827342 | WI | Yes |

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 08/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2110060 | PK | — |
| 05 | — | 33267400 | — | WI |