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General NPI Number Information
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NPI Number | 1932075850
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Entity Type | Organization
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Legal Business Name | HAYAT PHARMACY 19 LLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 807 W LAYTON AVE STE A
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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 | 414-483-0000
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Fax | 414-483-0083
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Provider Business Mailing Address
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Address Line | 807 W LAYTON AVE STE A
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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 | 414-483-0000
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Fax | 414-483-0083
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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 |
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Telephone | 414-454-0000
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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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