Provider Demographics
NPI:1225741705
Name:HOMETOWN PHARMACY OF ZACHARY
Entity Type:Organization
Organization Name:HOMETOWN PHARMACY OF ZACHARY
Other - Org Name:HOMETOWN PHARMACY OF ZACHARY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:318-884-3981
Mailing Address - Street 1:2250 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-2707
Mailing Address - Country:US
Mailing Address - Phone:225-654-8383
Mailing Address - Fax:
Practice Address - Street 1:2250 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-2707
Practice Address - Country:US
Practice Address - Phone:225-654-8383
Practice Address - Fax:225-658-6484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-30
Last Update Date:2023-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy