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1194591644
LONG LIFE PHARMACY LLC
MILWAUKEE, WI
NPI
1194591644
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Entity Type
Organization
Authorized Contact
MOATH M SARSOUR
Owner
414-377-7717
Organization Subpart ?
No
Primary Taxonomy
3336L0003X Pharmacy, Long Term Care Pharmacy
Enumeration Date
2023-11-27
Last Update Date
2023-11-27
Business Address
LONG LIFE PHARMACY LLC
1672 S 9TH ST UNIT D
MILWAUKEE, WI 53204-3426
Phone number: 414-375-6112
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Mailing Address
LONG LIFE PHARMACY LLC
1255 E HICKORY CREEK CT
OAK CREEK, WI 53154-7316
Phone number: 414-375-6112
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