Organization
H-E-B, LP
Active
Organization
H-E-B, LP
Active
Other names
HEB Pharmacy # 627
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
530 HWY 6, SUGAR LAND, TX 77479
(281) 240-6370
(281) 240-6378
Mailing address
646 S FLORES, SAN ANTONIO, TX 78204
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27518
TSBP
TX
05
—
469258
—
TX
01
—
5903706
NCPDP
TX
Enumeration date
07/14/2011
Last updated
09/23/2020
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