Organization
H-E-B, LP
Active
Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #697
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
2755 EAST LEAGUE CITY PARKWAY, LEAGUE CITY, TX 77573
(281) 334-2012
(281) 334-3176
Mailing address
646 SOUTH FLORES, SAN ANTONIO, TX 78204
(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
—
29295
TSBP
TX
05
—
468855
—
TX
01
—
5912452
NCPDP
TX
Enumeration date
07/15/2014
Last updated
09/24/2020
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