OrganizationActive
Long Life Pharmacy LLC
NPI 1194591644 · Long Term Care Pharmacy · Milwaukee, WI
Provider details
- NPI number
- 1194591644
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Moath Sarsour, Owner(414) 377-7717
Specialties & taxonomies
Suppliers
Practice location
1672 S 9th St Unit D
Milwaukee, WI 53204-3426
Phone: (414) 375-6112
Fax: (414) 375-6113
Approximate (ZIP-level) locationGet directions
Mailing address
1255 E Hickory Creek Ct
Oak Creek, WI 53154-7316
Registry dates
- Enumerated
- 2023-11-27
- Last updated
- 2023-11-27
- Certified
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.