Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #713
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
3501 CLEAR LAKE CITY BLVD, HOUSTON, TX 77059
(281) 480-4721
(281) 212-8883
Mailing address
646 SOUTH FLORES ST, SAN ANTONIO, TX 78204
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
—
468208
—
TX
01
—
5917490
NCPDP
—
Enumeration date
07/31/2015
Last updated
09/25/2020
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