| NPI | 1558906354 |
|---|---|
| Doing Business As | LIFE CHANGE PHARMACY 4 |
| Entity Type | Organization |
| Authorized Contact | ALI A ALI Pharmacist / Owner 414-999-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |