Healthcare Provider Details

I. General information

NPI: 1245050368
Provider Name (Legal Business Name): BARCLAY'S APOTHECARY SHOPPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TAMIAMI TRL N
VENICE FL
34285-1914
US

IV. Provider business mailing address

PO BOX 708
VENICE FL
34284-0708
US

V. Phone/Fax

Practice location:
  • Phone: 941-424-2494
  • Fax: 941-485-3645
Mailing address:
  • Phone: 941-484-2494
  • Fax: 941-485-3645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. ALYSSA MARIE SANDERS
Title or Position: PHARMACIST/OWNER
Credential: PHARMD
Phone: 941-484-2494