Life Change Rx Llc

LBN: Life Change Rx Llc
Life Change Rx Llc is an health care organization with primary practice located at 1844 S 15Th St , Milwaukee WI 53204-3225. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Life Change Rx Llc can be contacted via phone (414) 999-0999, or through Ali, Ali Ahmed Nafea via phone (414) 999-0999.

Contact Information

Primary practice address
1844 S 15Th St Milwaukee WI 53204-3225
Phone: (414) 999-0999
Fax: (414) 562-6888
Website:
Map and Directions
Authorized official contact:
Name: Ali, Ali Ahmed Nafea R.PH
Phone: (414) 999-0999

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1205544913
LBN Legal business name Life Change Rx Llc
DBA Doing business as
Authorized official Ali, Ali Ahmed Nafea R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2022
Last updated Nov 10th, 2022 - about 4 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 1205544913 NPPES
Wisconsin MEDICAID 100071374

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