Peytliv INC

NPI #1184114613 in New Tazewell, Tennessee

Provider Information

NPI Number
1184114613
Entity Type
Organization
Organization Name
Peytliv INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 10, 2018
Last Updated
Sep 19, 2025

Practice Location

Address
915 N BROAD ST
ZIP Code
37825-6633
Phone
(423) 626-5511

Authorized Official

Name
DETRA ROBERTSON
Title
PHARMACIST/OWNER
Phone
(606) 248-9330

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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