Ideal Health Mart Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in Deridder, Louisiana
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