Provider Demographics
NPI:1669066825
Name:PARKER, ALEXANDRA MARIE CARLSON (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MARIE CARLSON
Last Name:PARKER
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 1:2600 LAUREL RD E
Mailing Address - Street 2:
Mailing Address - City:NORTH VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34275-3226
Mailing Address - Country:US
Mailing Address - Phone:941-261-9000
Mailing Address - Fax:
Practice Address - Street 1:1700 TAMIAMI TRL
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3509
Practice Address - Country:US
Practice Address - Phone:941-917-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS59542183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist