Healthcare Provider Details

I. General information

NPI: 1912818105
Provider Name (Legal Business Name): PEELER WELLNESS TC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E COLORADO BLVD STE 240
PASADENA CA
91101-5401
US

IV. Provider business mailing address

800 E COLORADO BLVD STE 240
PASADENA CA
91101-5401
US

V. Phone/Fax

Practice location:
  • Phone: 813-455-8610
  • Fax:
Mailing address:
  • Phone: 813-455-8610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DEBRA PEELER
Title or Position: MANAGER
Credential:
Phone: 813-455-8610