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YETOLA INC NPI 1043221682


NPI Information

NPI: 1043221682
Provider Name: YETOLA INC

Doing Business As: PEACHVIEW DRUGS

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
525 FRANKLIN GTWY SE
MARIETTA, GA
ZIP 30067
Phone: (678) 581-1223
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YETOLA INC is a long term care pharmacy pharmacy in Marietta, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. YETOLA INC NPI is 1043221682. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peachview Drugs.

The provider's business location address is:

525 FRANKLIN GTWY SE
MARIETTA, GA
ZIP 30067-707
Phone: (678) 581-1223
Fax: (678) 581-2356

The provider's authorized official is Yetunde Ezeanii .
The authorized official title is Ceo and has the following contact phone number (678) 581-1223.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 3/21/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistNo
2333600000XPharmacyNo
33336I0012XPharmacyInstitutional PharmacyPHRE008552GEORGIANo
43336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12014409OTHERPK
200925097AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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