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Organization
HAYAT PHARMACY 16 LLC
Active
Organization
HAYAT PHARMACY 16 LLC
Active
Other names
Hayat Pharmacy 16
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIR KALOTI PHARMD (PHARMACIST OWNER)
(414) 543-9999
Entity
Organization
Contact information
Practice address
603 N 36TH ST, MILWAUKEE, WI 53208-3826
(414) 543-9999
(414) 483-0006
Mailing address
PO BOX 13337, MILWAUKEE, WI 53213-0337
(414) 543-9999
(414) 483-0006
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
957642
STATE OF WISCONSIN LICENSE
WI
Enumeration date
07/17/2019
Last updated
02/07/2020
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