Life Change Rx 4 Llc

LBN: Life Change Rx 4 Llc
Life Change Rx 4 Llc is an health care organization with primary practice located at 6300 N 76Th St Ste 246 , Milwaukee WI 53218-1208. 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 4 Llc can be contacted via phone (414) 999-0999, or through Ali, Ali A via phone (414) 999-0999.

Contact Information

Primary practice address
6300 N 76Th St Ste 246 Milwaukee WI 53218-1208
Phone: (414) 999-0999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ali, Ali A R.PH
Phone: (414) 999-0999

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1558906354
LBN Legal business name Life Change Rx 4 Llc
DBA Doing business as
Authorized official Ali, Ali A R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2019
Last updated Nov 15th, 2019 - about 7 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 1558906354 NPPES
Wisconsin Other 961842 WI STATE BOARD OF PHARMACY

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