Provider Demographics
NPI:1598045395
Name:LESTER, LINDA KATHERINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KATHERINE
Last Name:LESTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 N MONTE VISTA DR
Mailing Address - Street 2:
Mailing Address - City:GLADE SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:24340-2912
Mailing Address - Country:US
Mailing Address - Phone:276-356-8255
Mailing Address - Fax:
Practice Address - Street 1:3971 BRAMBLETON AVE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6402
Practice Address - Country:US
Practice Address - Phone:540-774-0861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist