Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #074
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
1655 HIGHWAY 46 WEST, NEW BRAUNFELS, TX 78132
(830) 626-3348
(830) 626-0148
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
26876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470826
—
TX
01
—
5900205
NCPDP
—
Enumeration date
06/03/2010
Last updated
09/24/2020
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