Healthcare Provider Details

I. General information

NPI: 1013069970
Provider Name (Legal Business Name): JEPSON DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N PROGRESS AVE SUITE #10
SILOAM SPRINGS AR
72761
US

IV. Provider business mailing address

310 N PROGRESS AVE SUITE #10
SILOAM SPRINGS AR
72761
US

V. Phone/Fax

Practice location:
  • Phone: 479-524-4311
  • Fax: 479-524-6173
Mailing address:
  • Phone: 479-524-4311
  • Fax: 479-524-6173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberAR06062
License Number StateAR

VIII. Authorized Official

Name: SETH WILSON
Title or Position: PHARMACIST-IN-CHARGE, CO-OWNER
Credential: PHARMD
Phone: 479-524-4311