Provider Demographics
NPI:1710026190
Name:LESTER, JEANNE M (PHARMD, BCPS)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:M
Last Name:LESTER
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CLINICAL PHARMACY CARE CENTER
Mailing Address - Street 2:1200 SW 27TH ST
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057
Mailing Address - Country:US
Mailing Address - Phone:800-417-9762
Mailing Address - Fax:206-877-0752
Practice Address - Street 1:CLINICAL PHARMACY CARE CENTER
Practice Address - Street 2:1200 SW 27TH ST
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057
Practice Address - Country:US
Practice Address - Phone:800-417-9762
Practice Address - Fax:206-877-0752
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00020212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist