Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #599
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
5225A BUFFALO SPEEDWAY, HOUSTON, TX 77005
(713) 218-1850
(713) 664-2342
Mailing address
646 S MAIN AVE, SOUTH 1/PHARMACY, SAN ANTONIO, TX 78204-1210
(210) 938-7694
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26136
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4549905
NCPDP PROVIDER ID
—
05
—
469090
—
TX
Enumeration date
09/30/2008
Last updated
09/24/2020
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