Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diamondhead Health Mart Pharmacy, LLC

Organization Community/Retail Pharmacy · NPI 1003207895

Diamondhead Health Mart Pharmacy, LLC is a Community/Retail Pharmacy in Diamondhead, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.

Licensed in
MS
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4405 E Aloha Dr # AA
Diamondhead, MS 39525-3380
Phone: (228) 222-4662
Fax: (228) 222-4733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 14221/1.1 (MS)

Record details

NPI number1003207895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rudy Letellier — Owner/Pharmacist · (228) 222-4662
Other names Diamondhead Health Mart Pharmacy; Pharmacy In Diamondhead
NPI enumeratedFebruary 15, 2015
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021
Mailing addressPo Box 4258, Bay St Louis, MS 39521-4258

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