| 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 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2021-01-13 |