Potter'S House Apothecary
LBN: Potters House Apothecary Inc
Potter'S House Apothecary is an health care organization with primary practice located at 21585 N 77Th Ave Ste 1500, Peoria AZ 85382. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Potters House Apothecary Inc can be contacted via phone (623) 362-9322, or through Borg, Kevin via phone (623) 362-9322.
Contact Information
Primary practice address
21585 N 77Th Ave Ste 1500
Peoria AZ 85382
Phone: (623) 362-9322
Fax: (623) 362-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y005043 | Arizona |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1922249127 |
|---|---|
| LBN Legal business name | Potters House Apothecary Inc |
| DBA Doing business as | Potter'S House Apothecary |
| Authorized official | Borg, Kevin PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 18th, 2009 |
| Last updated | Mar 14th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922249127 | NPPES |
| Other | 2119474 | PK | |
| MEDICAID | 432524 | PK |
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