# LIFE CHANGE RX 3 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Change Pharmacy 3
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285278978
- **Authorized official:** MR. MOHAMED EL SHEIKH (CO-OWNER/ PHARMACIST)
- **Authorized official phone:** (414) 335-4617

## Contact information

- **Practice address:** 7115 W CAPITOL DR, MILWAUKEE, WI 53216-2051
- **Practice address phone:** (414) 999-0999
- **Practice address fax:** (414) 562-6888
- **Mailing address:** 1844 S 15TH ST, MILWAUKEE, WI 53204-3225
- **Mailing address phone:** (414) 999-0999
- **Mailing address fax:** (414) 562-6888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2019
- **Last updated:** 11/05/2019