Provider Demographics
NPI:1356923841
Name:HAYAT PHARMACY 19 LLC
Entity type:Organization
Organization Name:HAYAT PHARMACY 19 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIBAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-454-0000
Mailing Address - Street 1:2500 W LAYTON AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53221-5421
Mailing Address - Country:US
Mailing Address - Phone:414-483-0000
Mailing Address - Fax:414-483-0083
Practice Address - Street 1:2500 W LAYTON AVE STE 150
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53221-5421
Practice Address - Country:US
Practice Address - Phone:414-483-0000
Practice Address - Fax:414-483-0083
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAYAT PHARMACY 21 LLC RDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy