# HAYAT PHARMACY 19 LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HAYAT PHARMACY 21 LLC RDS
- **Other names:** Hayat Pharmacy 21 Remote Dispensing Site
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356923841
- **Legal business name:** HAYAT PHARMACY 21 LLC RDS
- **Authorized official:** HASHIM ZAIBAK (OWNER)
- **Authorized official phone:** (414) 454-0000

## Contact information

- **Practice address:** 2500 W LAYTON AVE STE 150, MILWAUKEE, WI 53221-5421
- **Practice address phone:** (414) 483-0000
- **Practice address fax:** (414) 483-0083
- **Mailing address:** 2500 W LAYTON AVE STE 150, MILWAUKEE, WI 53221-5421
- **Mailing address phone:** (414) 483-0000
- **Mailing address fax:** (414) 483-0083

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2021
- **Last updated:** 04/23/2021