Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #099
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
10919 LOUETTA RD, HOUSTON, TX 77070
(281) 257-4655
(281) 257-4684
Mailing address
646 SOUTH FLORES, SAN ANTONIO, TX 78204
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4546048
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
469132
—
TX
Enumeration date
10/11/2007
Last updated
08/09/2023
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