| 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 | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2026-03-31 |