Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #780
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BUECHE (MANAGING DIRECTOR OF PHARMACY)
(210) 938-3182
Entity
Organization
Contact information
Practice address
12021 W US 290, BLDG 1, AUSTIN, TX 78737
(512) 288-5443
(737) 610-5883
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
Enumeration date
12/05/2022
Last updated
10/25/2023
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