Provider Demographics
NPI:1245050368
Name:BARCLAY'S APOTHECARY SHOPPE
Entity type:Organization
Organization Name:BARCLAY'S APOTHECARY SHOPPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:941-484-2494
Mailing Address - Street 1:PO BOX 708
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34284-0708
Mailing Address - Country:US
Mailing Address - Phone:941-484-2494
Mailing Address - Fax:941-485-3645
Practice Address - Street 1:200 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-1914
Practice Address - Country:US
Practice Address - Phone:941-424-2494
Practice Address - Fax:941-485-3645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy