NPI: 1497355002 · WEST ALLIS, WI 53214 · Pharmacy · NPI assigned 11/01/2020
| Authorized Official | SARSOUR, MOATH (OWNER AND PHARMACIST) |
| NPI Enumeration Date | 11/01/2020 |
Other providers sharing the same authorized official: SARSOUR, MOATH
| Provider | City | State | Total Paid |
|---|---|---|---|
| LONG LIFE PHARMACY LLC | MILWAUKEE | WI | $69K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 257 | $3K |
| 2022 | 50 | $2K |
| 2023 | 12 | $410.85 |
| 2024 | 1,349 | $61K |