Organization
LIFE CHANGE RX 3 LLC
Active
Other names
Life Change Pharmacy 3
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED EL SHEIKH (CO-OWNER/ PHARMACIST)
(414) 335-4617
Entity
Organization
Contact information
Practice address
7115 W CAPITOL DR, MILWAUKEE, WI 53216-2051
(414) 999-0999
(414) 562-6888
Mailing address
1844 S 15TH ST, MILWAUKEE, WI 53204-3225
(414) 999-0999
(414) 562-6888
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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