Peachview Drugs

LBN: Yetola Inc
Peachview Drugs is an health care organization with primary practice located at 525 Franklin Gtwy Se , Marietta GA 30067-7707. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Yetola Inc can be contacted via phone (678) 581-1223, or through Ezeanii, Yetunde via phone (678) 581-1223.

Contact Information

Primary practice address
525 Franklin Gtwy Se Marietta GA 30067-7707
Fax: (678) 581-2356
Website:
Authorized official contact:
Name: Ezeanii, Yetunde

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X PHRE008552 Georgia
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1043221682
LBN Legal business name Yetola Inc
DBA Doing business as Peachview Drugs
Authorized official Ezeanii, Yetunde
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 21st, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043221682 NPPES
Other 2014409 PK
MEDICAID 00925097A PK

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