NPI 1003207895

Diamondhead Health Mart Pharmacy,llc

Organisation Community/Retail Pharmacy Diamondhead, MS

Practice location

Address: 4405 E Aloha Dr # Aa, Diamondhead, MS 39525-3380
Phone: (228) 222-4662
Fax: (228) 222-4733
Mailing address: PO Box 4258, Bay St Louis, MS 39521-4258

Authorised official

Name: Rudy Allen Letellier
Title: Owner/Pharmacist
Phone: (228) 222-4662

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 14221/1.1 (MS)

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Registry record

NPI: 1003207895
Entity type: Organization
NPI issued: 15 Feb 2015
Record last updated: 30 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.