Provider Demographics
NPI:1306672985
Name:JEFTS, REBECCA MELBALENE TERESITA (PHARMD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:MELBALENE TERESITA
Last Name:JEFTS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:MELBALENE TERESITA
Other - Last Name:BRADFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12635 LARCHMERE BLVD APT 2C
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-1186
Mailing Address - Country:US
Mailing Address - Phone:623-299-0178
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE STE 610
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-545-8374
Practice Address - Fax:216-946-4356
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03444788183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist