| NPI | 1205544913 |
|---|---|
| Doing Business As | LIFE CHANGE PHARMACY 1 LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | ALI AHMED NAFEA ALI Co Owner 414-999-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |