Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #696
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
5000 GATTIS SCHOOL ROAD, HUTTO, TX 78634
(512) 251-3173
(737) 484-0783
Mailing address
646 S FLORES ST, SAN ANTONIO, TX 78204-1219
(210) 938-3182
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30973
TSBP
TX
05
—
471137
—
TX
01
—
5919583
NCPDP
—
Enumeration date
09/01/2016
Last updated
09/24/2020
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