Organization
SOUTH WALTON PHARMACY LLC
Active
Other names
Santa Rosa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAJAL K ROY (PRESIDENT/DIRECTOR)
(850) 622-3313
Entity
Organization
Contact information
Practice address
2050 W COUNTY HIGHWAY 30A UNIT M1-106, SANTA ROSA BEACH, FL 32459-0187
(850) 622-3313
(850) 622-3255
Mailing address
2050 W COUNTY HIGHWAY 30A, M1-106, SANTA ROSA BEACH, FL 32459-0187
(850) 622-3313
(850) 622-3255
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PH25428
FL
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117267300
—
FL
01
—
2130225
PK
—
Enumeration date
03/23/2011
Last updated
01/14/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us