Provider Demographics
NPI:1851743579
Name:ZOEY HOLDINGS LLC
Entity Type:Organization
Organization Name:ZOEY HOLDINGS LLC
Other - Org Name:THE PHARMACY AT RAMEY'S
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:985-640-9994
Mailing Address - Street 1:34314 TORREGANO RD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70460-2940
Mailing Address - Country:US
Mailing Address - Phone:985-640-9994
Mailing Address - Fax:985-847-1144
Practice Address - Street 1:130 EDWARDS CIR
Practice Address - Street 2:
Practice Address - City:FLORA
Practice Address - State:MS
Practice Address - Zip Code:39071-9015
Practice Address - Country:US
Practice Address - Phone:601-879-5544
Practice Address - Fax:601-879-5542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MS14875/1.13336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2162047OtherPK
MS05034874Medicaid