Pharmacy In Diamondhead

LBN: Diamondhead Health Mart Pharmacy,Llc
Pharmacy In Diamondhead is an health care organization with primary practice located at 4405 E Aloha Dr # Aa , Diamondhead MS 39525-3380. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Diamondhead Health Mart Pharmacy,Llc can be contacted via phone (228) 222-4662, or through Letellier, Rudy Allen via phone (228) 222-4662.

Contact Information

Primary practice address
4405 E Aloha Dr # Aa Diamondhead MS 39525-3380
Phone: (228) 222-4662
Fax: (228) 222-4733
Website:
Map and Directions
Authorized official contact:
Name: Letellier, Rudy Allen RPH
Phone: (228) 222-4662

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 14221/1.1 Mississippi

Profile Details

NPI number 1003207895
LBN Legal business name Diamondhead Health Mart Pharmacy,Llc
DBA Doing business as Pharmacy In Diamondhead
Authorized official Letellier, Rudy Allen RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2015
Last updated Nov 30th, 2021 - about 5 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003207895 NPPES
Mississippi MEDICAID 08129049

Popular Providers