Provider Demographics
NPI:1033654777
Name:HAUGABOOK, SHAKIYLA (BS, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHAKIYLA
Middle Name:
Last Name:HAUGABOOK
Suffix:
Gender:F
Credentials:BS, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:963 S MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-3909
Mailing Address - Country:US
Mailing Address - Phone:561-615-0543
Mailing Address - Fax:
Practice Address - Street 1:3184 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2552
Practice Address - Country:US
Practice Address - Phone:561-968-8211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist