# HOLZER HOSPITAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holzer Family Pharmacy Jackson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629109780
- **Authorized official:** MR. RODNEY B STOUT MD (CEO)
- **Authorized official phone:** (404) 465-5597

## Contact information

- **Practice address:** 280 PATTONSVILLE RD, JACKSON, OH 45640-9452
- **Practice address phone:** (740) 395-8870
- **Practice address fax:** (740) 395-8897
- **Mailing address:** 280 PATTONSVILLE RD, JACKSON, OH 45640-9452
- **Mailing address phone:** (740) 395-8870
- **Mailing address fax:** (740) 395-8897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 09/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2163144 | — | OH |