Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LONG LIFE PHARMACY LLC
Active
Organization
LONG LIFE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOATH M SARSOUR PH-D (OWNER)
(414) 375-6112
Entity
Organization
Contact information
Practice address
1672 S 9TH ST UNIT D, MILWAUKEE, WI 53204-3426
(414) 326-0888
Mailing address
1255 E HICKORY CREEK CT, OAK CREEK, WI 53154-7316
(414) 375-6112
(414) 375-6113
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
06/12/2019
Last updated
06/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers