NPI | 1033008164 |
---|---|
Doing Business As | LIFE CHANGE PHARMACY 1 |
Entity Type | Organization |
Authorized Contact | MOHAMED EL SHEIKH Owner 414-999-0999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2025-07-02 |
Last Update Date | 2025-07-02 |