Organization
HAYAT PHARMACY 8, LLC
Active
Other names
Village Apothecary #1
Organization subpart
No
Provider details
NPI number
Authorized official
HASHIM ZAIBAK PHARMACIST (OWNER)
(414) 712-5200
Entity
Organization
Contact information
Practice address
110 W MAIN ST, CAMPBELLSPORT, WI 53010-2704
(920) 533-4012
(920) 533-4012
Mailing address
PO BOX 13337, MILWAUKEE, WI 53213-0337
(920) 533-4012
(920) 533-3408
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9232-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143357
PK
—
Enumeration date
12/10/2013
Last updated
04/17/2020
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