Provider Demographics
NPI:1437689189
Name:SHAYEB BARAKAT, FATEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:FATEN
Middle Name:
Last Name:SHAYEB BARAKAT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE ALMENDRO 212
Mailing Address - Street 2:URB GRAND PALM II
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692
Mailing Address - Country:US
Mailing Address - Phone:787-662-8592
Mailing Address - Fax:
Practice Address - Street 1:CVS PHARMACY 3950 CARR 2
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-807-1106
Practice Address - Fax:787-807-1144
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR06395183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist