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

Wallace Williams

Individual provider Pharmacist · NPI 1801472139

Wallace Williams is a Pharmacist in Leesburg, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

118 Lavender Ln
Leesburg, GA 31763-4564
Phone: (229) 434-0717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH016680 (GA)

Record details

NPI number1801472139
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 18, 2021
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing address118 Lavender Ln, Leesburg, GA 31763-4564

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