Organization
LIFE CHANGE RX LLC
Active
Other names
Life Change Pharmacy 1
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED EL SHEIKH RPH (OWNER)
(414) 999-0999
Entity
Organization
Contact information
Practice address
1844 S 15TH ST STE 100, MILWAUKEE, WI 53204-3225
(414) 999-0999
Mailing address
1844 S 15TH ST STE 100, MILWAUKEE, WI 53204-3225
(414) 999-0999
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
05/07/2026
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