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Mack Bayou Pharmacy LLC

Compounding Pharmacy in Santa Rosa Beach, FL · enumerated 2012 · authorized official Amy Frazier, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508112889

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Mack Bayou Pharmacy LLC
Other name <Unavail>
Practice address 82 Mack Bayou Loop Ste B, Santa Rosa Beach, FL, 32459
Phone (850) 622-0730
Fax (850) 622-0755
Enumeration date Jul 24, 2012
Last updated in NPPES Mar 1, 2017

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Secondary
3336C0004X Compounding Pharmacy Suppliers · License PH26321 (FL) Primary

Authorized official

Name Amy Frazier
Title Owner
Phone (850) 622-0730

Other identifiers

Identifier Type State Issuer
2137562 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Mack Bayou Pharmacy LLC?
Mack Bayou Pharmacy LLC is registered in NPPES as a Compounding Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-01.