Ideal Health Mart Pharmacy Inc
Pharmacy
610 N Pine St, Deridder
Louisiana, 70634-3546
337-463-7210 337-462-0930
Ideal Health Mart Pharmacy Inc is a Pharmacy in Deridder, Louisiana. It is located at 610 N Pine St, Deridder and it's customer support contact number is 337-463-7210. The authorized person of Ideal Health Mart Pharmacy Inc is Kesa Lane who is Rph/owner of the pharmacy and his contact number is 337-463-7210. Active license number of Ideal Health Mart Pharmacy Inc is 006477 for Pharmacy in Louisiana. Ideal Health Mart Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Ideal Health Mart Pharmacy Inc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Ideal Health Mart Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Ideal Health Mart Pharmacy Inc |
| Type: | Pharmacy |
| Location: | 610 N Pine St, Deridder,
Louisiana, 70634-3546 |
| Phone: | 337-463-7210 |
| Fax: | 337-462-0930 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kesa Lane |
| Position: | Rph/owner |
| Contact Number: | 337-463-7210 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1568510030 |
| NPI Enumeration Date: | 08 Jan, 2007 |
| NPI Last Update On: | 16 May, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ideal Health Mart Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 006477 | Louisiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1902801 | Other | | Ncpdp Provider Identification Number |
| 2201344 | Medicaid | Louisiana | |
Medicare Enrollment:
Ideal Health Mart Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1355593633 | O20121213000106 | Ideal Health Mart Pharmacy Inc | DME SUPPLIER - PHARMACY |
Products Available:
Ideal Health Mart Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 610 N Pine St,
Deridder, Louisiana |
| Zip: | 70634-3546 |
| Phone Number: | 337-463-7210 |
| Fax Number: | 337-462-0930 |
Patients can reach Ideal Health Mart Pharmacy Inc at
610 N Pine St, Deridder, Louisiana or can
call on customer care at 337-463-7210.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.