Lewis Grant Clark in Waycross - Pharmacist
Lewis Grant Clark - NPI 1558352377
Lewis Grant Clark is a Pharmacist in Waycross, Georgia. Lewis Grant Clark practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Lewis Grant Clark is 1558352377. The last update date is 2007-07-08.
Lewis Grant Clark's current location address is 815 Saint Marys Dr, Waycross, Georgia. You can contact this provider via phone number 9123380688. The mailing address for Lewis Grant Clark is 815 Saint Marys Dr, Waycross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lewis Grant Clark |
|---|---|
| Address | 815 Saint Marys Dr, Waycross, Georgia |
| Phone Number | 9123380688 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHARMACIST |
NPI Number Detail
| NPI Number | 1558352377 |
|---|---|
| Provider Enumeration Date | 2005-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 815 Saint Marys Dr |
|---|---|
| City | Waycross |
| State | Georgia (GA) |
| Post Code | 315013234 |
| Phone Number | 9123380688 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | GA 11041 |
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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 m |
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What is the unique 10-digit identifier code assigned to Lewis Grant Clark by the Centers for Medicare & Medicaid Services?
The Lewis Grant Clark has been issued the NPI (National Provider Identifier) 1558352377 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Lewis Grant Clark located?
The Lewis Grant Clark is located at 815 Saint Marys Dr, Waycross, GA 315013234.
What is Lewis Grant Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lewis Grant Clark's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Lewis Grant Clark receive the assignment of its 1558352377 from the Centers for Medicare & Medicaid Services?
The Lewis Grant Clark was issued its 1558352377 by the Centers for Medicare & Medicaid Services on 2005-11-01.
When was the information related to Lewis Grant Clark most recently updated or refreshed?
The details pertaining to the Lewis Grant Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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