Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #733
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
12125 ALAMO RANCH PKWY, SAN ANTONIO, TX 78253
(210) 688-9584
(210) 963-3183
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
—
471207
—
TX
Enumeration date
06/14/2017
Last updated
09/24/2020
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