Provider Demographics
NPI:1093552515
Name:LAPRADE, SHAYNA ARIEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHAYNA
Middle Name:ARIEL
Last Name:LAPRADE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHAYNA
Other - Middle Name:ARIEL
Other - Last Name:HAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11000 N MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6597
Mailing Address - Country:US
Mailing Address - Phone:561-626-7542
Mailing Address - Fax:
Practice Address - Street 1:11000 N MILITARY TRL
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6597
Practice Address - Country:US
Practice Address - Phone:561-626-7542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS67246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist