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General NPI Number Information
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NPI Number | 1881485753
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Entity Type | Organization
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Legal Business Name | PLANET WELLNESS INC.
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 631 S BROOKHURST ST STE 110
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City | ANAHEIM
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State | CA
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Zip | 92804-3500
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Country | US
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Telephone | 657-704-4200
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Fax | 657-704-4201
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Provider Business Mailing Address
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Address Line | 631 S BROOKHURST ST STE 110
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City | ANAHEIM
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State | CA
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Zip | 92804-3500
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Country | US
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Telephone | 657-704-4200
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Fax | 657-704-4201
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Authorized Official
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Title or Position | CEO
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Name | KRINABEN SHAH
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Credential | DOCTOR OF PHARMACY
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Telephone | 949-568-7886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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