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General NPI Number Information
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NPI Number | 1477493203
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Entity Type | Organization
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Legal Business Name | WI LTC PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 813 W LAYTON AVE
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City | MILWAUKEE
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State | WI
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Zip | 53221-2426
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Country | US
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Telephone | 414-508-2322
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Fax | 800-219-0822
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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 | 414-508-2322
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Fax | 800-219-0822
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Authorized Official
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Title or Position | PHARMACY 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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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