Organization · Type 2 NPI

Mack Bayou Pharmacy LLC

Compounding Pharmacy · Santa Rosa Beach, FL

NPI number 1508112889 Active

Practice location

82 Mack Bayou Loop Ste B
Santa Rosa Beach, FL 32459-2607

Fax (850) 622-0755

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Community/Retail Pharmacy 3336C0003XNone listed
Compounding Pharmacy Primary 3336C0004XPH26321 (FL)

Compounding Pharmacy: 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 compoun…

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About NPI 1508112889

Mack Bayou Pharmacy LLC's National Provider Identifier is 1508112889, issued on Jul 24, 2012. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Santa Rosa Beach, FL. The record was last updated on Mar 1, 2017.