LIFE CHANGE RX LLC NPI 1437672797

NPI Information

LIFE CHANGE RX LLC is a pharmacy in Milwaukee, WI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. LIFE CHANGE RX LLC NPI is 1437672797. The provider is registered as an organization entity type.
The provider Is Doing Business As Life Change Pharmacy.

The provider's business location address is:

1844 S 15TH ST
MILWAUKEE, WI
ZIP 53204-225
Phone: (414) 335-4617
Fax: (414) 751-5146

The provider's authorized official is Mohamed El Sheikh .
The authorized official title is Owner and has the following contact phone number (414) 335-4617.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 1/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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