Mack Bayou Pharmacy Llc
LBN: Mack Bayou Pharmacy Llc
Mack Bayou Pharmacy Llc is an health care organization with primary practice located at 82 Mack Bayou Loop Ste B , Santa Rosa Beach FL 32459-2607. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty.
Mack Bayou Pharmacy Llc can be contacted via phone (850) 622-0730, or through Frazier, Amy via phone (850) 622-0730.
Contact Information
Primary practice address
82 Mack Bayou Loop Ste B
Santa Rosa Beach FL 32459-2607
Phone: (850) 622-0730
Fax: (850) 622-0755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | PH26321 | Florida |
Profile Details
| NPI number | 1508112889 |
|---|---|
| LBN Legal business name | Mack Bayou Pharmacy Llc |
| DBA Doing business as | Mack Bayou Pharmacy Llc |
| Authorized official | Frazier, Amy PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2012 |
| Last updated | Mar 1st, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508112889 | NPPES |
| Other | 2137562 | PK |
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