Provider Demographics
NPI:1922442318
Name:LESTER, MATTHEW (R PH)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:LESTER
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7220 LOUIS PASTEUR DR STE 176
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4535
Mailing Address - Country:US
Mailing Address - Phone:210-614-6200
Mailing Address - Fax:210-616-0113
Practice Address - Street 1:7220 LOUIS PASTEUR DR STE 176
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4535
Practice Address - Country:US
Practice Address - Phone:210-614-6200
Practice Address - Fax:210-616-0113
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist