Mr Lewis Grant Clark Iii, PHARMACIST - Pharmacist in Waycross, GA

Mr Lewis Grant Clark Iii, PHARMACIST is a Pharmacist based in Waycross, Georgia. Mr Lewis Grant Clark Iii is licensed to practice in Georgia (license number GA 11041) and his current practice location is 815 Saint Marys Dr, Waycross, Georgia. He can be reached at his office (for appointments etc.) via phone at (912) 338-0688.

NPI number for Mr Lewis Grant Clark Iii is 1558352377 and his current mailing address is 815 Saint Marys Dr, Waycross, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558352377.

Contact Information

Mr Lewis Grant Clark Iii, PHARMACIST
815 Saint Marys Dr,
Waycross, GA 31501-3234
(912) 338-0688
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Lewis Grant Clark Iii
GenderMale
SpecialityPharmacist
Location815 Saint Marys Dr, Waycross, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558352377
  • Provider Enumeration Date: 11/01/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Lewis Grant Clark Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558352377NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist GA 11041 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Lewis Grant Clark Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Lewis Grant Clark Iii, PHARMACIST
815 Saint Marys Dr,
Waycross, GA 31501-3234

Ph: (912) 338-0688
Mr Lewis Grant Clark Iii, PHARMACIST
815 Saint Marys Dr,
Waycross, GA 31501-3234

Ph: (912) 338-0688

Reviews and Comments


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