Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Lewis Grant Clark III, PHARMACIST

Individual provider Pharmacist · NPI 1558352377

Mr. Lewis Grant Clark III, PHARMACIST is a Pharmacist in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
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Practice location Address checks out

815 Saint Marys Dr
Waycross, GA 31501-3234
Phone: (912) 338-0688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence GA 11041 (GA)

Record details

NPI number1558352377
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorNo
NPI enumeratedNovember 1, 2005
Last updated in NPPESJuly 13, 2026

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