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.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PO7862 | Kentucky | Primary | |
| 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.
| Identifier | Type | State | Issuer |
| 2177440 | Other | | Pk |
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.