Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mack Bayou Pharmacy LLC

Organization Pharmacy · NPI 1508112889

Mack Bayou Pharmacy LLC is a Pharmacy in Santa Rosa Beach, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

82 Mack Bayou Loop Ste B
Santa Rosa Beach, FL 32459-2607
Phone: (850) 622-0730
Fax: (850) 622-0755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X · Licence PH26321 (FL)
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1508112889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Frazier — Owner · (850) 622-0730
Other names Mack Bayou Pharmacy Llc
NPI enumeratedJuly 24, 2012
Last updated in NPPESMarch 1, 2017
Mailing address82 Mack Bayou Loop Ste B, Santa Rosa Beach, FL 32459-2607

Other providers in Santa Rosa Beach