Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #562
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
1409 HWY 35 NORTH BUSINESS, ROCKPORT, TX 78382
(361) 729-1105
(361) 729-2338
Mailing address
646 SOUTH FLORES, SAN ANTONIO, TX 78204
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4523432
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
469373
—
TX
Enumeration date
08/30/2006
Last updated
09/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us