Healthcare Provider Details

I. General information

NPI: 1629673256
Provider Name (Legal Business Name): REBECCA JEFFUS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2020
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N PROGRESS AVE # 10
SILOAM SPRINGS AR
72761-4093
US

IV. Provider business mailing address

310 N PROGRESS AVE # 10
SILOAM SPRINGS AR
72761-4093
US

V. Phone/Fax

Practice location:
  • Phone: 479-524-4311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202218399
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: