Organization · Type 2 NPI

Long Life Pharmacy 2 LLC

Pharmacy · West Allis, WI

NPI number 1497355002 Active

Practice location

932 S 60th St
West Allis, WI 53214-3369

Call (414) 375-6112 Map

Fax (414) 375-6113

Mailing address

1255 E Hickory Creek Ct
Oak Creek, WI 53154-7316

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed

Pharmacy: 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 lo…

7 other providers at this address

Other pharmacy providers in West Allis

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NPI record

NPI: 1497355002
Entity type: Organization (Type 2)
Issued: Nov 1, 2020
Last updated: Apr 4, 2024
Status: Active

Other names

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Long Life Pharmacy 2 · doing business as
Long Life Pharmacy 2 · doing business as

Authorized official

Dr. Moath Sarsour, PharmD
Owner and Pharmacist
(414) 377-7717

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497355002

Long Life Pharmacy 2 LLC's National Provider Identifier is 1497355002, issued on Nov 1, 2020. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in West Allis, WI. The record was last updated on Apr 4, 2024.