Organization
ZAIBAK PRN LLC
Active
Other names
Hayat Pharmacy 3
Organization subpart
No
Provider details
NPI number
Authorized official
HASHIM ZAIBAK (PHARMACIST MANAGER/OWNER)
(414) 712-5200
Entity
Organization
Contact information
Practice address
8500 W CAPITOL DR, MILWAUKEE, WI 53222-1869
(414) 463-1111
(414) 463-1112
Mailing address
8500 W CAPITOL DR, MILWAUKEE, WI 53222-1869
(262) 923-1444
(262) 923-1444
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9167-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137451
PK
—
Enumeration date
10/23/2012
Last updated
05/27/2016
Update your record
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