NPI | 1437672797 |
---|---|
Doing Business As | LIFE CHANGE PHARMACY |
Entity Type | Organization |
Authorized Contact | MOHAMED EL SHEIKH Owner 414-335-4617 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2017-07-19 |
Last Update Date | 2025-08-26 |