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Mr. Lewis Grant Clark III, PHARMACIST
Pharmacist in Waycross, Georgia
NPI 1558352377

Lewis Grant Clark III is a Pharmacist based in Waycross, GA. Lewis Grant Clark III practices in Waycross, GA and has the professional credentials of PHARMACIST. The NPI Number for Lewis Grant Clark III is 1558352377 and holds a License No. GA 11041 (Georgia).

The current practice location address for Lewis Grant Clark III is 815 Saint Marys Dr, Waycross, GA and can be reached out via phone at 912-338-0688.

Location: 815 Saint Marys Dr, Waycross, GA, 31501-3234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558352377
Provider Name
Lewis Grant Clark III
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Male
Address
815 Saint Marys Dr, Waycross, GA, 31501-3234
Phone Number
912-338-0688
Fax Number
Provider Enumeration Date
11/01/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
815 Saint Marys Dr
City
Waycross
State
Georgia
Zip
31501-3234
Phone Number
912-338-0688
Fax Number
person
Provider Business Mailing Address Details
Address
815 Saint Marys Dr
City
Waycross
State
Georgia
Zip
31501-3234
Phone Number
912-338-0688
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
GA 11041 (Georgia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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