Healthcare Provider Details

I. General information

NPI: 1710319405
Provider Name (Legal Business Name): VALERIE D. JEFFERYS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2013
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 REILY ROAD WOMACK ARMY MEDICAL CENTER
APO AE
28307
US

IV. Provider business mailing address

PO BOX 40852
RALEIGH NC
27629-0852
US

V. Phone/Fax

Practice location:
  • Phone: 910-907-9262
  • Fax:
Mailing address:
  • Phone: 919-231-0982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16698
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: