Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #732
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
17238 BULVERDE ROAD, SAN ANTONIO, TX 78247
(210) 495-0572
(210) 642-4783
Mailing address
646 S FLORES ST, SAN ANTONIO, TX 78204-1219
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
—
31394
TEXAS STATE BOARD OF PHARMACY
TX
05
—
471189
—
TX
01
—
5921413
NABP
TX
Enumeration date
03/02/2017
Last updated
03/07/2023
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