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NPI 1013436104

NPI 1013436104 : HAYAT PHARMACY 6 LLC : GREENFIELD, WI

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General NPI Number Information
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    NPI Number           |    1013436104
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAYAT PHARMACY 6 LLC 
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Dates
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    Enumeration Date     |    09/11/2017
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    Last Update Date     |    11/26/2024
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Provider Practice Location Address
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    Address Line         |    5233 S 27TH ST 
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    City                 |    GREENFIELD
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    State                |    WI
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    Zip                  |    53221-3764
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    Country              |    US
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    Telephone            |    414-270-4444
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    Fax                  |    414-239-8044
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Provider Business Mailing Address
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    Address Line         |    PO BOX 13337 
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53213-0337
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    Country              |    US
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    Telephone            |    414-374-0000
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    Fax                  |    414-374-0001
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     HASHIM  ZAIBAK 
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    Credential           |    PHARMD
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    Telephone            |    414-712-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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