<Unavail>

LBN: Life Change Rx 1 Llc
<Unavail> is an health care organization with primary practice located at 7115 W Capitol Dr , Milwaukee WI 53216-2051. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Life Change Rx 1 Llc can be contacted via phone (414) 600-2000, or through Ali, Ali A via phone (414) 600-2000.

Contact Information

Primary practice address
7115 W Capitol Dr Milwaukee WI 53216-2051
Phone: (414) 600-2000
Fax: (414) 600-0414
Website:
Map and Directions
Authorized official contact:
Name: Ali, Ali A
Phone: (414) 600-2000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1952965576
LBN Legal business name Life Change Rx 1 Llc
DBA Doing business as <Unavail>
Authorized official Ali, Ali A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2019
Last updated Jan 15th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952965576 NPPES
Wisconsin MEDICAID 100071374

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