# HAYAT PHARMACY 17, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hayat Pharmacy 17
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134687080
- **Authorized official:** DR. HASHIM ZAIBAK PHARMD (OWNER)
- **Authorized official phone:** (920) 459-7467

## Contact information

- **Practice address:** 577 S TAYLOR DR, SHEBOYGAN, WI 53081-4234
- **Practice address phone:** (920) 459-7467
- **Practice address fax:** (920) 459-8851
- **Mailing address:** PO BOX 13337, MILWAUKEE, WI 53213-0337
- **Mailing address phone:** (920) 459-7467
- **Mailing address fax:** (920) 459-8851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2019
- **Last updated:** 04/26/2019