| NPI | 1497355002 |
|---|---|
| Doing Business As | LONG LIFE PHARMACY 2 |
| Entity Type | Organization |
| Authorized Contact | MOATH SARSOUR Owner And Pharmacist 414-377-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2024-04-04 |