Organization
HAYAT PHARMACY 16 LLC
Active
Other names
Hayat Pharmacy 16
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIR KALOTI PHARMD (PHARMACIST OWNER)
(414) 543-9999
Entity
Organization
Contact information
Practice address
603 N 36TH ST, MILWAUKEE, WI 53208-3826
(414) 543-9999
(414) 483-0006
Mailing address
PO BOX 13337, MILWAUKEE, WI 53213-0337
(414) 543-9999
(414) 483-0006
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
957642
STATE OF WISCONSIN LICENSE
WI
Enumeration date
07/17/2019
Last updated
02/07/2020
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