Healthcare Provider Details

I. General information

NPI: 1801993647
Provider Name (Legal Business Name): BLANTON AND LESTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 REMOUNT RD
FRONT ROYAL VA
22630-2145
US

IV. Provider business mailing address

240 REMOUNT RD
FRONT ROYAL VA
22630-2145
US

V. Phone/Fax

Practice location:
  • Phone: 540-636-2222
  • Fax:
Mailing address:
  • Phone: 540-636-2226
  • Fax: 540-636-1287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201002956
License Number StateVA

VIII. Authorized Official

Name: SHAHBAZ CHAUDHRY
Title or Position: PRESIDENT
Credential:
Phone: 410-764-6500