Long Life Pharmacy 2 LLC

NPI #1497355002 in West Allis, Wisconsin

Provider Information

NPI Number
1497355002
Entity Type
Organization
Organization Name
Long Life Pharmacy 2 LLC
Primary Specialty
Pharmacy
Enumeration Date
Nov 1, 2020
Last Updated
Apr 4, 2024

Practice Location

Address
932 S 60TH ST
ZIP Code
53214-3369
Phone
(414) 375-6112

Authorized Official

Name
DR. MOATH SARSOUR, PHARMD
Title
OWNER AND PHARMACIST
Phone
(414) 377-7717

Specialties & Taxonomy Codes

Specialty
Pharmacy

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