Organization
H-E-B, LP
Active
Other names
HEB Pharmacy #211
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER)
(210) 938-3182
Entity
Organization
Contact information
Practice address
415 N NEW BRAUNFELS, SAN ANTONIO, TX 78202
(210) 226-8642
(210) 474-2869
Mailing address
646 SOUTH FLORES, SAN ANTONIO, TX 78204-1210
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4570405
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
469077
—
TX
Enumeration date
03/23/2007
Last updated
09/25/2020
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