NPI | 1285278978 |
---|---|
Doing Business As | LIFE CHANGE PHARMACY 3 |
Entity Type | Organization |
Authorized Contact | MOHAMED EL SHEIKH Co Owner/ Pharmacist 414-335-4617 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-11-05 |
Last Update Date | 2019-11-05 |