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Organization
LIFE CHANGE RX LLC
Active
Organization
LIFE CHANGE RX LLC
Active
Other names
Life Change Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED EL SHEIKH RPH (OWNER)
(414) 335-4617
Entity
Organization
Contact information
Practice address
1844 S 15TH ST, MILWAUKEE, WI 53204-3225
(414) 335-4617
(414) 751-5146
Mailing address
7115 W CAPITOL DR, MILWAUKEE, WI 53216-2051
(414) 600-2000
(414) 600-0414
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071374
—
WI
Enumeration date
07/19/2017
Last updated
03/31/2026
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