Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #694
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
2965 IH 35 NORTH, NEW BRAUNFELS, TX 78130
(830) 620-5100
(830) 312-5783
Mailing address
646 SOUTH 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
05
—
470453
—
TX
01
—
5918935
NCPDP
—
Enumeration date
01/26/2016
Last updated
09/23/2020
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