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
- City
- New Tazewell
- State
- Tennessee
- 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 Pharmacy — Community/Retail Pharmacy |
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