Provider Demographics
NPI:1477114163
Name:HOULE, ZACHARY A (MED, ADV-CPHT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:A
Last Name:HOULE
Suffix:
Gender:M
Credentials:MED, ADV-CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 STOCKBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-1235
Mailing Address - Country:US
Mailing Address - Phone:413-528-8415
Mailing Address - Fax:
Practice Address - Street 1:300 STOCKBRIDGE RD
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1235
Practice Address - Country:US
Practice Address - Phone:413-528-8415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA517944171M00000X
MAPT17292183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator