South Walton Pharmacy Llc
Specialty Pharmacy
2050 W County Highway 30a Unit M1-106, Santa Rosa Beach
Florida, 32459-0187
850-622-3313 850-622-3255
South Walton Pharmacy Llc is a Specialty Pharmacy in Santa Rosa Beach, Florida. It is located at 2050 W County Highway 30a Unit M1-106, Santa Rosa Beach and it's customer support contact number is 850-622-3313. The authorized person of South Walton Pharmacy Llc is Harold E Cannon who is Sole Member of the pharmacy and his contact number is 850-622-3313.
South Walton Pharmacy Llc is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Pharmacy Details:
South Walton 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: | South Walton Pharmacy Llc |
| Type: | Specialty Pharmacy |
| Location: | 2050 W County Highway 30a Unit M1-106, Santa Rosa Beach,
Florida, 32459-0187 |
| Phone: | 850-622-3313 |
| Fax: | 850-622-3255 |
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: | Harold E Cannon |
| Position: | Sole Member |
| Contact Number: | 850-622-3313 |
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: | 1942509401 |
| NPI Enumeration Date: | 23 Mar, 2011 |
| NPI Last Update On: | 08 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Walton Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialty Pharmacy | | | Primary | |
| Community/Retail Pharmacy | PH25428 | Florida | Secondary | |
| Home Infusion Therapy 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 |
| 117267300 | Medicaid | Florida | |
| 2130225 | 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: | 2050 W County Highway 30a, M1-106
Santa Rosa Beach, Florida |
| Zip: | 32459-0187 |
| Phone Number: | 850-622-3313 |
| Fax Number: | 850-622-3255 |
Patients can reach South Walton Pharmacy Llc at
2050 W County Highway 30a Unit M1-106, Santa Rosa Beach, Florida or can
call on customer care at 850-622-3313.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.