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General NPI Number Information
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NPI Number | 1245050368
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Entity Type | Organization
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Legal Business Name | BARCLAY'S APOTHECARY SHOPPE
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 200 TAMIAMI TRL N
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City | VENICE
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State | FL
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Zip | 34285-1914
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Country | US
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Telephone | 941-424-2494
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Fax | 941-485-3645
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Provider Business Mailing Address
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Address Line | PO BOX 708
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City | VENICE
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State | FL
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Zip | 34284-0708
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Country | US
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Telephone | 941-484-2494
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Fax | 941-485-3645
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | DR. ALYSSA MARIE SANDERS
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Credential | PHARMD
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Telephone | 941-484-2494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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