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Organization

H-E-B, LP

Active
Other names
HEB Pharmacy #596
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization

Contact information

Practice address
6711 S FRY RD, KATY, TX 77494
(281) 392-1188
(281) 392-4602
Mailing address
646 SOUTH FLORES, SAN ANTONIO, TX 78204

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
25066
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4541719
NCPDP PROVIDER IDENTIFICATION NUMBER
05
470496
TX
Enumeration date
09/25/2006
Last updated
08/07/2023
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