Santa Rosa Pharmacy
LBN: South Walton Pharmacy Llc
Santa Rosa Pharmacy is an health care organization with primary practice located at 2050 W County Highway 30A Unit M1-106 , Santa Rosa Beach FL 32459-0187. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
South Walton Pharmacy Llc can be contacted via phone (850) 622-3313, or through Cannon, Harold E via phone (850) 622-3313.
Contact Information
Primary practice address
2050 W County Highway 30A Unit M1-106
Santa Rosa Beach FL 32459-0187
Phone: (850) 622-3313
Fax: (850) 622-3255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH25428 | Florida |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1942509401 |
|---|---|
| LBN Legal business name | South Walton Pharmacy Llc |
| DBA Doing business as | Santa Rosa Pharmacy |
| Authorized official | Cannon, Harold E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2011 |
| Last updated | May 5th, 2023 - about last year |
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 | 1942509401 | NPPES |
| Florida | MEDICAID | 117267300 | |
| Florida | Other | 2130225 |
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