Provider Demographics
NPI:1275887697
Name:PLANET PHARMACY INC
Entity Type:Organization
Organization Name:PLANET PHARMACY INC
Other - Org Name:PLANET PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:FARNAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-657-7707
Mailing Address - Street 1:121 N ROBERTSON BLVD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2103
Mailing Address - Country:US
Mailing Address - Phone:310-657-7707
Mailing Address - Fax:
Practice Address - Street 1:121 N ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2103
Practice Address - Country:US
Practice Address - Phone:310-657-7707
Practice Address - Fax:310-657-7708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-07
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY57194OtherBOARD OF PHARMACY