Healthcare Provider Details

I. General information

NPI: 1932062536
Provider Name (Legal Business Name): JEPSON DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

310 N PROGRESS AVE STE 10
SILOAM SPRINGS AR
72761-4093
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 TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SETH WILSON
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 479-524-4311