Lester Steve Blevins

NPI #1396247771 in Portland, Tennessee

Provider Information

NPI Number: 1396247771
Entity Type: Individual
Name: Lester Steve Blevins
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 1, 2018
Last Updated: Mar 1, 2018

Practice Location

Address: 100 W KNIGHT ST
City: Portland
State: Tennessee
ZIP Code: 37148-1415
Phone: (615) 325-9218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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