Organization
GREAT POTTER CORP
Active
Organization
GREAT POTTER CORP
Active
Other names
Soul and Body Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JACKY KAMEL (CEO)
(760) 880-7546
Entity
Organization
Contact information
Practice address
82013 DR CARREON BLVD STE I, INDIO, CA 92201-5832
(442) 215-5785
(442) 215-5870
Mailing address
82013 DR CARREON BLVD STE I, INDIO, CA 92201-5832
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/10/2026
Last updated
08/11/2026
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