Organization
LONE STAR CIRCLE OF CARE
Active
Other names
LSCC A&M Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVID CALVIN (CEO)
(877) 800-5722
Entity
Organization
Contact information
Practice address
3950 NORTH AW GRIMES, SUITE N105, ROUND ROCK, TX 78665
(512) 524-9260
(512) 255-3880
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
26802
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124129
PK
—
Enumeration date
03/16/2010
Last updated
04/30/2025
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