Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #773
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
1601 TRINITY ST BLDG A STE 105, AUSTIN, TX 78712
(512) 320-9998
(512) 660-5880
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
05
—
471306
—
TX
Enumeration date
12/06/2019
Last updated
11/13/2020
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