Individual
HAFSA IMTIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W156N11261 PILGRIM RD, GERMANTOWN, WI 53022-3420
(262) 253-9720
Mailing address
11723 W BROWN DEER RD APT 102, MILWAUKEE, WI 53224-1447
(813) 203-9740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23212-40
WI
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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