Individual
LESTER STEVE BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W KNIGHT ST, PORTLAND, TN 37148-1415
(615) 325-9218
(615) 325-7038
Mailing address
5250 HIGHWAY 31 W, PORTLAND, TN 37148-4754
(615) 323-7349
(615) 325-7038
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4341
TN
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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