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  5. MACK BAYOU PHARMACY, LLC

MACK BAYOU PHARMACY, LLC - Florida Company Profile

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Company Details

Entity Name: MACK BAYOU PHARMACY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Jul 2012 (13 years ago)
Document Number: L12000094172
FEI/EIN Number 46-0622721
Address: 82 MACK BAYOU LOOP, SUITE B, SANTA ROSA BEACH, FL, 32459
Mail Address: 82 MACK BAYOU LOOP, SUITE B, SANTA ROSA BEACH, FL, 32459
ZIP code: 32459
City: Santa Rosa Beach
County: Walton
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
000-312-702
State:
ALABAMA
ALABAMA profile:
MACK BAYOU PHARMACY, LLC (AL)

Key Officers & Management

Name Role Address
MATTHEWS DANA C Agent 4475 LEGENDARY DRIVE, DESTIN, FL, 32541
- Manager -

National Provider Identifier

NPI Number:
1508112889
Link:
View on NPI website

Authorized Person:

Name:
AMY FRAZIER
Role:
OWNER
Phone:
8506220730

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 850-622-0730
Fax:
8506220755

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-04-22
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-03-15
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-26
ANNUAL REPORT 2015-05-01

USAspending Awards / Financial Assistance

Date:
2021-01-29
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
46744.00
Total Face Value Of Loan:
46744.00
Date:
2020-07-31
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-07-31
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-20
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-20857.67
Total Face Value Of Loan:
48642.33
Date:
2020-05-20
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-20857.67
Total Face Value Of Loan:
48642.33

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$69,500
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$48,642.33
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$49,026.06
Servicing Lender:
Trustmark National Bank
Use of Proceeds:
Payroll: $48,642.33
Jobs Reported:
2
Initial Approval Amount:
$46,744
Date Approved:
2021-01-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$46,744
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$47,144.85
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $46,742
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Florida Department of State

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