Clark, Lewis Grant
Clark, Lewis Grant is an individual health care provider with primary practice located at 815 Saint Marys Dr , Waycross GA 31501-3234. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Clark, Lewis Grant can be contacted via phone (912) 338-0688.Contact Information
Primary practice address
815 Saint Marys Dr
Waycross GA 31501-3234
Phone: (912) 338-0688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | GA 11041 | Georgia |
Profile Details
| NPI number | 1558352377 |
|---|---|
| LBN Legal business name | Clark, Lewis Grant |
| Credentials | PHARMACIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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