# HAYAT PHARMACY 16 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hayat Pharmacy 16
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982257200
- **Authorized official:** TAMIR KALOTI PHARMD (PHARMACIST OWNER)
- **Authorized official phone:** (414) 543-9999

## Contact information

- **Practice address:** 603 N 36TH ST, MILWAUKEE, WI 53208-3826
- **Practice address phone:** (414) 543-9999
- **Practice address fax:** (414) 483-0006
- **Mailing address:** PO BOX 13337, MILWAUKEE, WI 53213-0337
- **Mailing address phone:** (414) 543-9999
- **Mailing address fax:** (414) 483-0006

## Taxonomy

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

## Other

- **Enumeration date:** 07/17/2019
- **Last updated:** 02/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 957642 | STATE OF WISCONSIN LICENSE | WI |