Healthcare Provider Details

I. General information

NPI: 1881234870
Provider Name (Legal Business Name): ZAID HAMOUDI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2020
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6462 S 27TH ST
OAK CREEK WI
53154-1036
US

IV. Provider business mailing address

6462 S 27TH ST
OAK CREEK WI
53154-1036
US

V. Phone/Fax

Practice location:
  • Phone: 414-761-1550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number64266
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302048640
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number22844-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: