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DIAMONDHEAD HEALTH MART PHARMACYLLC NPI 1003207895

NPI Profile

NPI: 1003207895
Provider Name: DIAMONDHEAD HEALTH MART PHARMACY,LLC

Doing Business As: DIAMONDHEAD HEALTH MART PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
4349A GEX RD
DIAMONDHEAD, MS
ZIP 39525
Get Directions

Phone: (228) 222-4662

DIAMONDHEAD HEALTH MART PHARMACY,LLC is a community/retail pharmacy pharmacy in Diamondhead, MS. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. DIAMONDHEAD HEALTH MART PHARMACY,LLC NPI is 1003207895. The provider is registered as an organization entity type.
The provider Is Doing Business As Diamondhead Health Mart Pharmacy.

The provider's business location address is:

4349A GEX RD
DIAMONDHEAD, MS
ZIP 39525-235
Phone: (228) 222-4662
Fax: (228) 222-4733

The provider's authorized official is Rudy Allen Letellier .
The authorized official title is Owner/pharmacist and has the following contact phone number (228) 222-4662.

The enumeration date for this NPI number is 2/15/2015 and was last updated on 2/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy14221/1.1MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/3/2020

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