Mack Bayou Pharmacy Llc
Compounding Pharmacy
82 Mack Bayou Loop Ste B, Santa Rosa Beach
Florida, 32459-2607
850-622-0730 850-622-0755
Mack Bayou Pharmacy Llc is not a DME supplier for medicare equipments and products.
Mack Bayou Pharmacy Llc is a Compounding Pharmacy in Santa Rosa Beach, Florida. It is located at 82 Mack Bayou Loop Ste B, Santa Rosa Beach and it's customer support contact number is 850-622-0730. The authorized person of Mack Bayou Pharmacy Llc is Amy Frazier, PHARMD who is Owner of the pharmacy and his contact number is 850-622-0730. Active license number of Mack Bayou Pharmacy Llc is PH26321 for Compounding Pharmacy in Florida.
Mack Bayou Pharmacy Llc is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Mack Bayou Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mack Bayou Pharmacy Llc |
| Type: | Compounding Pharmacy |
| Location: | 82 Mack Bayou Loop Ste B, Santa Rosa Beach, Florida, 32459-2607 |
| Phone: | 850-622-0730 |
| Fax: | 850-622-0755 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Amy Frazier |
| Credentials: | PHARMD |
| Position: | Owner |
| Contact Number: | 850-622-0730 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1508112889 |
| NPI Enumeration Date: | 24 Jul, 2012 |
| NPI Last Update On: | 01 Mar, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mack Bayou Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | PH26321 | Florida | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2137562 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 82 Mack Bayou Loop Ste B, Santa Rosa Beach, Florida |
| Zip: | 32459-2607 |
| Phone Number: | 850-622-0730 |
| Fax Number: | 850-622-0755 |
Patients can reach Mack Bayou Pharmacy Llc at
82 Mack Bayou Loop Ste B, Santa Rosa Beach, Florida or can
call on customer care at 850-622-0730.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.