Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #109
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
9710 KATY FWY, HOUSTON, TX 77055
(713) 647-5960
(713) 722-9146
Mailing address
646 S FLORES, SOUTH 1/PHARMACY, SAN ANTONIO, TX 78204
(210) 938-3182
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26132
TSBP
TX
01
—
4549892
NCPDP
TX
05
—
468851
—
TX
Enumeration date
09/24/2008
Last updated
08/08/2023
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