Organization
H-E-B, LP
Active
Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #085
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
10718 POTRANCO RD, SAN ANTONIO, TX 78251
(210) 681-2301
(210) 681-5736
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
25214
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4542800
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
469051
—
TX
Enumeration date
11/01/2006
Last updated
09/24/2020
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