Organization
HAYAT PHARMACY 10 LLC
Active
Other names
Hayat Pharmacy 10
Organization subpart
No
Provider details
NPI number
Authorized official
HASHIM ZAIBAK (OWNER)
(414) 712-5200
Entity
Organization
Contact information
Practice address
5308 W BURLEIGH ST, MILWAUKEE, WI 53210-1622
(414) 712-5200
(414) 455-0171
Mailing address
PO BOX 13337, MILWAUKEE, WI 53213-0337
(414) 712-5200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
945242
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168664
PK
—
Enumeration date
04/07/2017
Last updated
04/07/2017
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