Great Potter Corp

LBN: Great Potter Corp
Great Potter Corp is an health care organization with primary practice located at 82013 Dr Carreon Blvd Ste M , Indio CA 92201-5832. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Great Potter Corp can be contacted via phone (760) 880-7546, or through Kamel, Jacky via phone (760) 880-7546.

Contact Information

Primary practice address
82013 Dr Carreon Blvd Ste M Indio CA 92201-5832
Phone: (760) 880-7546
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kamel, Jacky RPH
Phone: (760) 880-7546

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1518728195
LBN Legal business name Great Potter Corp
DBA Doing business as
Authorized official Kamel, Jacky RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2024
Last updated Jan 19th, 2024 - about 11 months 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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