Organization
H-E-B LP
Active
Other names
HEB Pharmacy #750
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BUECHE (MANAGING DIRECTOR OF PHARMACY)
(210) 938-3182
Entity
Organization
Contact information
Practice address
1670 E BROAD ST, MANSFIELD, TX 76063-1862
(817) 900-8386
Mailing address
646 S FLORES ST, SAN ANTONIO, TX 78204-1219
Taxonomy
Speciality
Code
Description
License number
State
291900000X
Military Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
11/06/2024
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