Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #710
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
8801 S CONGRESS AVE, AUSTIN, TX 78745-7389
(512) 292-8662
(737) 236-8383
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
—
471303
—
TX
Enumeration date
12/10/2019
Last updated
08/07/2023
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