Organization
H-E-B, LP
Active
Other names
HEB Pharmacy 614
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
12680 W LAKE HOUSTON PKWY, HOUSTON, TX 77044
(281) 436-1969
(281) 436-0783
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
26957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26956
TSBP
TX
05
—
469627
—
TX
01
—
5900685
NCPDP
TX
Enumeration date
07/22/2010
Last updated
09/23/2020
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