Waveland Pharmacy Llc
Community/Retail Pharmacy
112 Auderer Blvd, Waveland
Mississippi, 39576-2432
228-463-1055 228-463-0117
Waveland Pharmacy Llc is a Community/Retail Pharmacy in Waveland, Mississippi. It is located at 112 Auderer Blvd, Waveland and it's customer support contact number is 228-463-1055. The authorized person of Waveland Pharmacy Llc is Rudy Letellier, RPH who is Owner Phcst of the pharmacy and his contact number is 228-463-1055. Active license number of Waveland Pharmacy Llc is F05352 for Community/Retail Pharmacy in Mississippi.
Waveland Pharmacy Llc 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.
Pharmacy Details:
Waveland Pharmacy Llc 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: | Waveland Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 112 Auderer Blvd, Waveland,
Mississippi, 39576-2432 |
| Phone: | 228-463-1055 |
| Fax: | 228-463-0117 |
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: | Rudy Letellier |
| Credentials: | RPH |
| Position: | Owner Phcst |
| Contact Number: | 228-463-1055 |
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: | 1679507644 |
| NPI Enumeration Date: | 10 Jul, 2006 |
| NPI Last Update On: | 14 Dec, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Waveland Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | F05352 | Mississippi | Primary | |
| Pharmacy | | | Secondary | |
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 |
| 2046344 | Other | | Pk |
| 00330669 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 4617,
Bay St Louis, Mississippi |
| Zip: | 39521-4617 |
| Phone Number: | 228-463-1055 |
Patients can reach Waveland Pharmacy Llc at
112 Auderer Blvd, Waveland, Mississippi or can
call on customer care at 228-463-1055.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.