Organization
LSCC GEORGETOWN PHARMACY- WILLIAMS DRIVE
Active
Organization
LSCC GEORGETOWN PHARMACY- WILLIAMS DRIVE
Active
Other names
LSCC Georgetown Pharmacy- Williams Drive
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVID CALVIN (CEO)
(877) 800-5722
Entity
Organization
Contact information
Practice address
2423 WILLIAMS DR, SUITE 109, GEORGETOWN, TX 78628-3200
(512) 686-0155
(512) 869-8482
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119479
PK
—
Enumeration date
03/20/2009
Last updated
04/30/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up