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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