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NPI Code Detail

MEDICARE: MR. JEFFREY HOWARD LESTER R.PH., D.PH.

MEDICARE: MR. JEFFREY HOWARD LESTER R.PH., D.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835G0303XGeriatric Pharmacist0202006629VA
21835G0303XGeriatric Pharmacist0000034298TN

General Provider Information

NPI Number : 1053695361
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY HOWARD LESTER R.PH., D.PH.
Provider Business Mailing Address
First Line : 915 HARDY RD
Second Line :
City : VINTON
State : VA
Zip : 24179-3643
Country : US
Telephone Number : 540-344-1215
Fax Number : 540-344-1238
Provider Business Practice Location Address
First Line : 915 HARDY RD
Second Line :
City : VINTON
State : VA
Zip : 24179-3643
Country : US
Telephone Number : 540-344-1215
Fax Number : 540-344-1238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2011
Last Update Date : 10/05/2011

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