Great Earth Compounds

LBN: Clinical Compounding Pharmacy
Great Earth Compounds is an health care organization with primary practice located at 8941 Santa Monica Blvd , West Hollywood CA 90069-4912. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Clinical Compounding Pharmacy can be contacted via phone (323) 650-0025, or through Kizler, Helen via phone (323) 650-0025.

Contact Information

Primary practice address
8941 Santa Monica Blvd West Hollywood CA 90069-4912
Phone: (323) 650-0025
Fax: (323) 650-0029
Website:
Map and Directions
Authorized official contact:
Name: Kizler, Helen
Phone: (323) 650-0025

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 50743 California

Profile Details

NPI number 1316123334
LBN Legal business name Clinical Compounding Pharmacy
DBA Doing business as Great Earth Compounds
Authorized official Kizler, Helen
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2008
Last updated Dec 1st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316123334 NPPES
Other 5629110 NCPDP PROVIDER IDENTIFICATION NUMBER

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