Provider Demographics
NPI:1710319405
Name:JEFFERYS, VALERIE D (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:VALERIE
Middle Name:D
Last Name:JEFFERYS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40852
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27629-0852
Mailing Address - Country:US
Mailing Address - Phone:919-231-0982
Mailing Address - Fax:
Practice Address - Street 1:2817 REILY ROAD WOMACK ARMY MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:28307
Practice Address - Country:US
Practice Address - Phone:910-907-9262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16698183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist