Provider Demographics
NPI:1760769293
Name:BARNES, SHAKELA ROCHELLE (RPH)
Entity Type:Individual
Prefix:MS
First Name:SHAKELA
Middle Name:ROCHELLE
Last Name:BARNES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 NE 125TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-4718
Mailing Address - Country:US
Mailing Address - Phone:305-891-1262
Mailing Address - Fax:305-891-9915
Practice Address - Street 1:567 NE 125TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4718
Practice Address - Country:US
Practice Address - Phone:305-891-1262
Practice Address - Fax:305-891-9915
Is Sole Proprietor?:No
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS340291835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy