Organization
LONG LIFE PHARMACY 2 LLC
Active
Other names
Long Life Pharmacy 2
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOATH SARSOUR PHARMD (OWNER AND PHARMACIST)
(414) 377-7717
Entity
Organization
Contact information
Practice address
932 S 60TH ST, WEST ALLIS, WI 53214-3369
(414) 375-6112
(414) 375-6113
Mailing address
1255 E HICKORY CREEK CT, OAK CREEK, WI 53154-7316
(414) 377-7717
(414) 377-7719
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/01/2020
Last updated
04/04/2024
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