Organization
HOLZER HOSPITAL FOUNDATION
Active
Other names
Holzer Family Pharmacy Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY B STOUT MD (CEO)
(404) 465-5597
Entity
Organization
Contact information
Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(740) 395-8870
(740) 395-8897
Mailing address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(740) 395-8870
(740) 395-8897
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2163144
—
OH
Enumeration date
03/08/2007
Last updated
09/15/2025
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