Peytliv Inc

Community/Retail Pharmacy


  
  915 N Broad St, New Tazewell
Tennessee, 37825-6633

 423-626-5511   
Peytliv Inc is a Community/Retail Pharmacy in New Tazewell, Tennessee. It is located at 915 N Broad St, New Tazewell and it's customer support contact number is 423-626-5511. The authorized person of Peytliv Inc is Detra Robertson who is Pharmacist/owner of the pharmacy and his contact number is 606-248-9330. Active license number of Peytliv Inc is PO7862 for Community/Retail Pharmacy in Kentucky.
Peytliv Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Pharmacy Details:
Peytliv Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Peytliv Inc
Type: Community/Retail Pharmacy
Location:915 N Broad St, New Tazewell,
Tennessee, 37825-6633
Phone:423-626-5511
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Detra Robertson
Position: Pharmacist/owner
Contact Number: 606-248-9330
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1184114613
NPI Enumeration Date: 10 May, 2018
NPI Last Update On: 19 Sep, 2025

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peytliv Inc are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy PO7862KentuckyPrimary
Durable Medical Equipment & Medical Supplies Secondary
Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2177440OtherPk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1841 N 25th St,
Middlesboro, Kentucky
Zip: 40965-1853
Phone Number: 606-248-9330
Fax Number: 606-248-9337
Patients can reach Peytliv Inc at 915 N Broad St, New Tazewell, Tennessee or can call on customer care at 423-626-5511.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.

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